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, 2026 06:53 AM Thursday; Rod Welch

Exercise, diet, vitals and medication case study Jan 1, 2026.

1...Summary/Objective
..132. 260512 0630............................................. summary vitals, ref SDS 21 9HIW
..132. 260628 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260629 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260630 0733............................................. summary vitals, ref SDS 21 9HIW
..132. 260701 0640............................................. summary vitals, ref SDS 21 9HIW
..132. 260702 0230............................................. summary vitals, ref SDS 21 9HIW
..132. 260703 0704............................................. summary vitals, ref SDS 21 9HIW
..132. 260704 0719............................................. summary vitals, ref SDS 21 9HIW
..132. 260705 0704............................................. summary vitals, ref SDS 21 9HIW
..132. 260706 0700............................................. summary vitals, ref SDS 21 9HIW
..132. 260707 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260708 0713............................................. summary vitals, ref SDS 21 9HIW
..132. 260709 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260710 0712............................................. summary vitals, ref SDS 21 9HIW
..132. 260711 0631............................................. summary vitals, ref SDS 21 9HIW
..132. 260712 0705............................................. summary vitals, ref SDS 21 9HIW
..132. 260713 0705............................................. summary vitals, ref SDS 21 9HIW
..132. 260714 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260715 0700............................................. summary vitals, ref SDS 21 9HIW
..132. 260716 0730............................................. summary vitals, ref SDS 21 9HIW
..132. 260717 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260718 0635............................................. summary vitals, ref SDS 21 9HIW
..132. 260719 0510............................................. summary vitals, ref SDS 21 9HIW
..132. 260720 0705............................................. summary vitals, ref SDS 21 9HIW
..132. 260721 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260722 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260723 0700............................................. summary vitals, ref SDS 21 9HIW
..132. 260724 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260725 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260726 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260727 0310............................................. summary vitals, ref SDS 21 9HIW
..132. 260728 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260729 0450............................................. summary vitals, ref SDS 21 9HIW
..132. 260730 0210............................................. summary vitals, ref SDS 21 9HIW
..132. 260731 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260801 0650............................................. summary vitals, ref SDS 21 9HIW
..132. 260802 0505............................................. summary vitals, ref SDS 21 9HIW
..132. 260803 0510............................................. summary vitals, ref SDS 21 9HIW
..132. 260804 0505............................................. summary vitals, ref SDS 21 9HIW
..132. 260805 0605............................................. summary vitals, ref SDS 21 9HIW
..132. 260806 0705............................................. summary vitals, ref SDS 21 9HIW
..132. 260807 0707............................................. summary vitals, ref SDS 21 9HIW
..132. 260808 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260809 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260810 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260811 0530............................................. summary vitals, ref SDS 21 9HIW
..132. 260812 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260813 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260814 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260815 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260816 0705............................................. summary vitals, ref SDS 21 9HIW
..132. 260817 0700............................................. summary vitals, ref SDS 21 9HIW
..132. 260818 0725............................................. summary vitals, ref SDS 21 9HIW
..132. 260819 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260820 0605............................................. summary vitals, ref SDS 21 9HIW
..132. 260821 0330............................................. summary vitals, ref SDS 21 9HIW
..132. 260822 0645............................................. summary vitals, ref SDS 21 9HIW
..132. 260823 0640............................................. summary vitals, ref SDS 21 9HIW
..132. 260824 0700............................................. summary vitals, ref SDS 21 9HIW
..132. 260825 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260826 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260827 0500............................................. summary vitals, ref SDS 21 9HIW
..132. 260828 0600............................................. summary vitals, ref SDS 21 9HIW
..132. 260829 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260830 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260831 0615............................................. summary vitals, ref SDS 21 9HIW
..132. 260901 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260902 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260903 0520............................................. summary vitals, ref SDS 21 9HIW
..132. 260904 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260905 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260906 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260907 0700............................................. summary vitals, ref SDS 21 9HIW
..132. 260908 0650............................................. summary vitals, ref SDS 21 9HIW
..132. 260909 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260910 0410............................................. summary vitals, ref SDS 21 9HIW
..132. 260911 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260912 0630............................................. summary vitals, ref SDS 21 9HIW
..132. 260913 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260914 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260915 0545............................................. summary vitals, ref SDS 21 9HIW
..132. 260916 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260917 0705............................................. summary vitals, ref SDS 21 9HIW
..132. 260918 0117............................................. summary vitals, ref SDS 21 9HIW
..132. 260919 0655............................................. summary vitals, ref SDS 21 9HIW
..132. 260920 0825............................................. summary vitals, ref SDS 21 9HIW
..132. 260921 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260922 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 260923 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260924 0110............................................. summary vitals, ref SDS 21 9HIW
..132. 260925 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260926 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260927 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 260928 0400............................................. summary vitals, ref SDS 21 9HIW
..132. 260929 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 260930 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 261001 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 261002 0740............................................. summary vitals, ref SDS 21 9HIW
..132. 261003 0415............................................. summary vitals, ref SDS 21 9HIW
..132. 261004 0720............................................. summary vitals, ref SDS 21 9HIW
..132. 261005 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 261006 0715............................................. summary vitals, ref SDS 21 9HIW
..132. 261007 0710............................................. summary vitals, ref SDS 21 9HIW
..132. 261008 0050............................................. summary vitals, ref SDS 21 9HIW
..132. 261009 0705............................................. summary vitals, ref SDS 21 9HIW
..132. 261010 0740............................................. summary vitals, ref SDS 21 9HIW

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

1...At end of hike still right foot #45 PL 7, despite switching socks at
2...inserts be pushing feet too high causing friction with inside top
3...fizzing medicine. On starting back HR 143 occurred for 1 minute,
4...on concrete sidewalk .5 miles. Energy conflicting -- pace slowed to 3

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 71 0000. ref SDS 39 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 21 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 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081036 -  132.  260512 0630............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081037 -               0635....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081038 -               0640....BP HR..................................................... 170  74  49  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081039 -               0645....BP HR..................................................... 163  73  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081040 -               0652....BP HR..................................................... 194  87  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081041 -               0700....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081042 -               0700....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
081043 -               0840....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081044 -               0840....Magnesium 300 mg 4 Pils  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081045 -               0840....Turmeric Curcumin 2250 mg took 1 pill reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081046 -               0840... 02   CoQ10 Ubiquinol pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081047 -               0840....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081048 -               0840....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081049 -               0840....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081050 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081051 -               0935... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081052 -               0935....Turmeric Curcumin liquid reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses
081053 -  ..
081054 -               0941....miles...........  15.0  29.0  239   505 minutes  temp  76 wind  9  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081055 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081056 -               0000....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081057 -               1221....Naproxen 250 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081058 -               1221... Magnesium 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081059 -               1221... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 22 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081060 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081061 -               1225....mile 09 stopped EKG ... NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081062 -               1225....Naproxen 250 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081063 -               1225... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081064 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081065 -               1225... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081066 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081067 -               1414... Hike ends mile 15... ref SDS 0 YTQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081068 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081069 -               1430....weight.................................... 181  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081070 -               1432....BP HR..................................................... 135  76 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081071 -               1440....BP HR..................................................... 144  77 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081072 -               1440....BP HR..................................................... 163  76  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081073 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081074 -               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                                                                                                                                                                                                                                                                                  
081075 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081076 -               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                                                                                                                                                                                                                                                                                                                                                                                   
081077 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081078 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081079 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081080 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081081 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081082 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081083 -               2340... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081086 -  ..
081087 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081088 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081090 -  ..
081091 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081092 - pain no longer in toes down to heels.  Still pins and needles tingling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081093 - in evening, when feet are elevated in reclining chair.  Toes and heels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081094 - both feet feel and look less blistered, and itch less severely tonight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081095 - after hiking regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081097 -  ..
081098 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081099 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081101 -  ..
081102 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081105 -  ..
081106 - Summary...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081108 -  ..
081109 - Today, hiked 15 miles - temperature 78 and windy.  Starting PL 0, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081110 - 2 Naproxen 250 mg to start.  Needed 1 more at mile 09, which is a big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081111 - improvement after PRP on 260403.  Took magnesium to start, and at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081112 - 09.  Heart rate in sinus all the way tracking changes in elevation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081113 - Stomach bloated causing numerous major burps - still bloated at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081114 - end back home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081117 -         ..
081118 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081119 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081120 -        Stomach pain bloating - unstable ANS.........   6        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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
081121 -        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                                                                                                                                                                                                                                                                                                                                                                                         
081122 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081123 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081124 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081125 -        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                                                                                                                                                                                                                                                                                                                           
081126 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081127 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081128 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081129 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081130 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
081131 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081132 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
081133 -        Hands sunburned itching rash.................   2        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081134 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
081135 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081136 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081137 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081138 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081139 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
081140 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081141 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081142 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081143 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081144 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
081145 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081146 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081147 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081148 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081149 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081150 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081151 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081152 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081153 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081154 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081155 -        Metatarsalgia left foot...PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081156 -        Metatarsalgia right foot..PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081157 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081158 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
081159 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081160 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081161 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
081162 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
081163 -        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                                                                                                                                                                                                                                                                                                                           
081164 -        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                                                                                                                                                                                                                                                                                                                                                                                    
081165 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081166 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
081167 -        Callus big toe left foot...PRP 210705........   2         20  Reduced from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                             
081168 -        Callus big toe right foot...PRP 210705.......   0        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081169 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081170 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
081171 -        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                                                                                                                                                                                                                                                                                                                                           
081172 -        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                                                                                                                                                                                                                                                                                                                                           
081173 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081174 -  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                                                                                                                                                                                                                                                                                                                                                                                      
081175 -        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                                                                                                                                                                                                                                                                                                                                                                                        
081176 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
081177 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
081178 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081179 -        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                                                                                                                                                                                                                                                                                                                                                              
081180 -  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                                                                                                                                                                                                                                                                                                                                                                                      
081181 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
081182 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081183 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081184 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
081185 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081186 -        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                                                                                                                                                                                                                                                                                          
081187 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
081188 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081189 -        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                                                                                                                                                                                                                                                                                                                                                                               
081190 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081191 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081192 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081193 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081194 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081195 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081196 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081197 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081198 -        Wasted - very fatigued.......................   2         10  and 2 hours good speed last 4 miles after hike went to Costco walking isles little wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081199 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081203 -  ..
081204 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  wore NB Fresh                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081205 - Foam X size 10.5 width 4E extra-wide, purchased at On-The-Run reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081206 - on 260206 1030. ref SDS B9 XKYF  More importantly, testing shoes after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081207 - being stretched to reduce lateral pressure on #1s and #5s, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081208 - 260512 1548. ref SDS C3 ZGSU  First eyelets not laced, and first laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081209 - very loose.  Extra Wide shoes reduce lateral pressure compared to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081210 - simply wide.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081212 -  ..
081213 - Orthotic inserts - wore Stable Elite - switched from new version of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081214 - Powerstep inserts created by Doctor Hewittson on 250325 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081215 - ref SDS 87 5Q5M and explained in case study record on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081216 - ref SDS 21 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081218 -  ..
081219 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081221 -  ..
081222 - Callus Injuries - today on 260512 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081223 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081224 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081226 -  ..
081227 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081228 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081229 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081230 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081232 -  ..
081233 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081234 - ref SDS 71 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081235 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081236 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081237 - ref SDS 21 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081240 -  ..
081241 - Concord 27 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081242 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081243 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081244 - and also left hip.  Took 2 Tramadol for pain management, because like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081245 - yesterday, there is no metatarsalgia pain today, in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081246 - hike, and left foot #1 and #5 calluses both PL 0, treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081247 - Tang 4 days ago at VAMCSF on 250508 0930, ref SDS 94 VX5J, but likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081248 - need Tramadol for pain relief anyway.  Took Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081249 - pill for energy, absorbing lactic acid, and reducing inflammation, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081250 - allowing HDL to increase that together with EPCs regress plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081251 - blood vessels - see research on 200101 0701, ref SDS 21 QP6L -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081252 - swallowed pill whole after EGD Dilation on 240910, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081253 - clogging LESV, as occurred on 240824. ref SDS 39 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081254 - amount peanut butter and margarine, and chia seeds for electrolytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081255 - and energy, and had some avocado for HDL.  Just before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081256 - took Ubiquinol CoQ10 per above. ref SDS 71 QU5K  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081257 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081258 - giving human cells energy - see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081259 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081260 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081261 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081262 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081263 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081264 - Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081265 - hike feet feeling swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081266 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081267 - neuropathy caused by taking statins, and by diabetes symptoms.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081268 - about 1 mile feet calming down.  Bottom of both feet not hurting yet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081269 - with metatarsalgia pain, including left foot #1 and #5, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081270 - severely painful during 8 days that led to pausing hiking for 10 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081271 - for these injuries to heal beginning on 250428.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081272 - entire hike with no dyspnea, indicating condition has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081273 - despite minimal hiking last few months.  Temperature started at 55,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081274 - and reached 65.  East wind 19 mph and mostly 15 mph.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081275 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081276 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081277 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081278 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081279 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081280 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081281 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081282 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081283 - on concrete sidewalk .5 miles.  Energy good - did not stop at mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081284 - time ____ in Mountain Mike's Pizza restaurant - Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081285 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081286 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081287 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081288 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081289 - at Michigan Boulevard.  Turned left hiked 1.75 miles East.  Near Quiet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081290 - Circle road turned around and hiked back on Pine Hollow 1.75 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081291 - Near Ygnacio Valley road turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081292 - uphill 3% grade.  Hiked 1 mile against wind 15 mph.  Pace slow because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081293 - of wind and feet PL 7.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081294 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081295 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081296 - Hiked loop around main buildings.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081297 - Administration building mile 11 time 1303 temp 65 and wind 17 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081298 - looks uniform with minor artifact.  Kardia reported HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081299 - Tachycardia, - see below. ref SDS 71 YYXW  Bloating PL 4, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081300 - metatarsalgia PL 2.  Left foot #1 PL 8 and #5 PL 8, Took 3 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081301 - mg for pain.  Took 2 more Magnesium complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081302 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081303 - 200101 0701. ref SDS 21 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081304 - hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081305 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081306 - for energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081307 - ml for HDL and energy to complete hike.  Since temperature 65 - well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081308 - below 80 which causes sweating that ejects electrolytes, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081309 - Nuun electrolyte pill.  Left campus heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081310 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081311 - grade .5 miles.  At mile 12, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081312 - 3% grade .5 miles with wind 19 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081313 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081314 - severe camber.  Continued West .5 mile to summit - mile 13 end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081315 - concrete traffic barrier.  Turned around and hiked back.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081316 - onto Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081317 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081318 - against oncoming commute traffic.  Pace very slow due to PL 9 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081319 - foot.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081320 - then home.  Ended hike mile 15 time 1459 temp 66, wind 21, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081321 - 4, feet PL 2, left foot #1 edge PL 4, #5 edge PL 7, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081322 - fracture PL 0, #5 PL 0, burning sensation PL 2, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081323 - left knee PL 2 (slightly swollen), right knee PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081324 - 0, neck and right shoulder PL 9 intermittantly, lower back middle PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081325 - - stress carrying backpack, left elbow PL 0, when lifting.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081326 - variable with minor artifact, Kardia reported HR 105 Unclassified -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081327 - see below. ref SDS 71 P3RX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081342 -  ..
081343 - Kardia recorded HR 069 at 0813 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081344 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081345 - hiking 16 miles temp 90 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081346 - 200612 0700, ref SDS 25 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081347 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081348 - 1202. ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081349 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081352 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081353 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250512-ecg-081308_mile_00_069_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081359 -  ..
081360 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081361 - used*** hike 16 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081362 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081363 - ..
081364 -                                                                                                                                                                                                                                                                                                              x
081365 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081366 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081367 -       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  
081368 -       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  
081369 -       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  
081370 -         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  
081371 -         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  
081372 -       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  
081373 -       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  
081374 -       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  
081375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081377 -              https://flow.polar.com/training/analysis/8111638368                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081380 -  ..
081381 - HRV seems  10% 0 and  20% good and  70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081383 -               ..
081385 -   
081386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081390 -  ..
081391 - EKG at mile 11 time 1303, HR 109 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081392 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081393 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081396 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081397 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250512-ecg-130325_mile_11_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081402 -  ..
081403 - End hike EKG at mile 15, time 1459 HR 105 temp 66 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081404 - Unclassified... looks mostly variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081405 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081408 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081409 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250512-ecg-145908_mile_15_105_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081413 -  ..
081414 - Post hike HR profile beginning 2135, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081415 - hiking 27 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081416 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081417 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081418 - 240611 0930, ref SDS 56 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081419 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081422 -        ..
081423 -       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    
081424 -       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     
081425 -       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     
081426 -       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     
081427 -       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     
081428 -       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     
081429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081431 -              https://flow.polar.com/training/analysis/8111638433                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081434 -  ..
081435 - HRV profile shows normal sinus initial 2 hours, then increasing HRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081436 - next 4 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081439 -   
081440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081443 -  ..
081444 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081445 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081446 - Dinner - tuna cottage cheese olives - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081448 -  ..
081449 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081461 -         ..
081462 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081463 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081464 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081465 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081466 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081467 -  132.  260628 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081468 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081469 -               0715....BP HR..................................................... 162  74  45  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081470 -               0720....BP HR..................................................... 168  70  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081471 -               0725....BP HR..................................................... 141  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081472 -               0735....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081473 -               0735....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
081474 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081475 -               0735....Magnesium 300 mg 1 Pils  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081476 -               0735....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
081477 -               0000... 02   CoQ10 Ubiquinol pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081478 -               0735....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081479 -               0735....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081480 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081481 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081482 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081483 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081484 -               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                                                                                                                                                                                                                                                                                  
081485 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081486 -               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                                                                                                                                                                                                                                                                                                                                                                                   
081487 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081488 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081489 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081490 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081491 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081492 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081493 -               0000... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081495 -  ..
081496 - Letting wounds heal both feet #1, #4 and #5, per the record on 260622,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081497 - see above. ref SDS 21 GK2U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081499 -  ..
081500 - Large callus left foot #1 significant granular wound bed after callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081501 - came loose - PL 10 occurred trying to shave and sand wound granularity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081502 - yesterday.  Did not try hiking.  Large callus right foot #1 seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081503 - getting ready to loosen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081505 -  ..
081506 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081507 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081509 -  ..
081510 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081511 - pain no longer in toes down to heels.  Still pins and needles tingling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081512 - in evening, when feet are elevated in reclining chair.  Toes and heels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081513 - both feet feel and look less blistered, and itch less severely tonight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081514 - despite pausing hiking on 260623.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081516 -  ..
081517 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081518 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081520 -  ..
081521 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081527 -  ..
081528 - Kardia recorded HR 071 at 0957 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081529 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081530 - hiking  0 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081531 - 200612 0700, ref SDS 25 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081532 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081533 - 1202. ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081534 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081537 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081538 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260629-ecg-093903_mile_00_045_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081545 -  ..
081546 - Post hike HR profile beginning 2135, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081547 - hiking 27 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081548 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081549 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081550 - 240611 0930, ref SDS 56 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081551 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081554 -        ..
081555 -       Date      260628  ......  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    
081556 -       Time       2201            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     
081557 -       Hours        11               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     
081558 -       HR AVG       56              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     
081559 -       HR MAX       97             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     
081560 -       HR Min       36              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     
081561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081565 -              https://flow.polar.com/training/analysis/8369286848                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081567 -  ..
081568 - HRV seems  10% 0 and  35% good and  55% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081572 -   
081574 -  ..
081575 - Dysfuncational ANS improved with HRV 55% overnight, however, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081576 - increased bloating, BP mixed and low HR.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081579 -  ..
081580 - Breakfast - avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081581 - Lunch - half sandwich roast beef tomato onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081582 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081584 -  ..
081585 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081599 -         ..
081600 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081601 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081602 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081603 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081604 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081605 -  132.  260629 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081606 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081607 -               0720....BP HR..................................................... 170  74  73  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081608 -               0725....BP HR..................................................... 133  72  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081609 -               0730....BP HR..................................................... 142  68  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081610 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081611 -               0735....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
081612 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081613 -               0735....Magnesium 300 mg 1 Pils  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081614 -               0735....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
081615 -               0000... 02   CoQ10 Ubiquinol pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081616 -               0735....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081617 -               0735....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081618 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081619 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081620 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081621 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081622 -               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                                                                                                                                                                                                                                                                                  
081623 -               1900............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081624 -               1900............ 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                                                                                                                                                                                                                                                                                                                                                                                   
081625 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081626 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081627 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081628 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081629 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081630 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081631 -               0000... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081634 -  ..
081635 - Letting wounds heal both feet #1, #4 and #5, per the record on 260622,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081636 - see above. ref SDS 21 GK2U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081638 -  ..
081639 - Large callus left foot #1 significant granular wound bed after callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081640 - came loose - PL 10 occurred trying to shave and sand wound granularity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081641 - yesterday.  Did not try hiking.  Large callus right foot #1 seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081642 - getting ready to loosen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081645 -  ..
081646 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081647 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081649 -  ..
081650 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081651 - pain no longer in toes down to heels.  Still pins and needles tingling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081652 - in evening, when feet are elevated in reclining chair.  Toes and heels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081653 - both feet feel and look less blistered, and itch less severely tonight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081654 - despite pausing hiking on 260623.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081656 -  ..
081657 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081658 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081660 -  ..
081661 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081667 -  ..
081668 - Kardia recorded HR 071 at 0957 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081669 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081670 - hiking  0 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081671 - 200612 0700, ref SDS 25 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081672 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081673 - 1202. ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081674 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081677 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081678 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260629-ecg-095720_mile_00_071_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081683 -  ..
081684 - Post hike HR profile beginning 2135, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081685 - hiking 27 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081686 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081687 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081688 - 240611 0930, ref SDS 56 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081689 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081692 -        ..
081693 -       Date      260629  260628  ......  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    
081694 -       Time       2000    2201            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     
081695 -       Hours        11      11               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     
081696 -       HR AVG       70      56              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     
081697 -       HR MAX      107      97             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     
081698 -       HR Min       39      36              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     
081699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081703 -              https://flow.polar.com/training/analysis/8369865877                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081705 -  ..
081706 - HRV seems  20% 0 and  40% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081710 -   
081711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081715 -  ..
081716 - Breakfast - avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081717 - Lunch - half sandwich roast beef tomato onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081718 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081720 -  ..
081721 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081740 -         ..
081741 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081742 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081743 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081744 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081745 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081746 -  132.  260630 0733............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081747 -               0733....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081748 -               0740....BP HR..................................................... 150  67  63  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081749 -               0745....BP HR..................................................... 135  72  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081750 -               0740....BP HR..................................................... 135  68  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081751 -               0745....BP HR..................................................... 153  67  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081752 -               0745....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081753 -               0745....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
081754 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081755 -               0745....Magnesium 300 mg 1 Pils  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081756 -               0745....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
081757 -               0000... 02   CoQ10 Ubiquinol pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081758 -               0735....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081759 -               0735....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081760 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081761 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081762 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081763 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081764 -               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                                                                                                                                                                                                                                                                                  
081765 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081766 -               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                                                                                                                                                                                                                                                                                                                                                                                   
081767 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081768 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081769 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081770 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081771 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081772 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081773 -               0000... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081776 -  ..
081777 - Letting wounds heal both feet #1, #4 and #5, per the record on 260622,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081778 - see above. ref SDS 21 GK2U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081780 -  ..
081781 - Large callus left foot #1 significant granular wound bed after callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081782 - came loose - PL 10 occurred trying to shave and sand wound granularity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081783 - yesterday.  Did not try hiking.  Large callus right foot #1 seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081784 - getting ready to loosen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081787 -  ..
081788 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081789 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081791 -  ..
081792 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081793 - pain no longer in toes down to heels.  Still pins and needles tingling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081794 - in evening, when feet are elevated in reclining chair.  Toes and heels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081795 - both feet feel and look less blistered, and itch less severely tonight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081796 - despite pausing hiking on 260623.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081798 -  ..
081799 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081800 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081802 -  ..
081803 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081809 -  ..
081810 - Kardia recorded HR 067 at 1456 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081811 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081812 - likely no AFL after hiking  0 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081813 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081814 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081815 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081816 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081819 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081820 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260630-ecg-145604_mile_00_067_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081825 -       **********************************************************                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081826 -       **********************************************************                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081828 -  ..
081829 - Post hike HR profile beginning 2000, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081830 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081831 - elevated HR > 130, indicates no AFL, and possible atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081832 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081833 - 240611 0930, ref SDS 56 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081834 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081837 -        ..
081838 -       Date      260630  260629  260628  ......  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    
081839 -       Time       2008    2000    2201            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     
081840 -       Hours        10      11      11               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     
081841 -       HR AVG       62      70      56              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     
081842 -       HR MAX      131     107      97             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     
081843 -       HR Min       37      39      36              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     
081844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081848 -              https://flow.polar.com/training/analysis/8370503354                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081850 -  ..
081851 - HRV seems  20% 0 and  40% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081855 -   
081856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081858 -  ..
081859 - Breakfast - avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081860 - Lunch - half sandwich roast beef tomato onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081861 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081863 -  ..
081864 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081880 -         ..
081881 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081882 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081883 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081884 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081885 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081886 -  132.  260701 0640............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081887 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081888 -               0645....BP HR..................................................... 174  80  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081889 -               0650....BP HR..................................................... 175  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081890 -               0655....BP HR..................................................... 176  77  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081891 -               0705....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081892 -               0705....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
081893 -               0705....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081894 -               0705....Magnesium 300 mg 4 Pils  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081895 -               0705....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
081896 -               0705... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081897 -               0705....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081898 -               0705....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081899 -  forgot       0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081900 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081901 -               0900... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081902 -               0900....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
081903 -               0000...
081904 -  ..
081905 -               0926....miles...........  21.0  21.0  344   344 minutes  temp  80 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081906 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081907 -               0000....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081908 -               1221....Naproxen 250 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081909 -               1221... Magnesium 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081910 -               1221... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 22 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081911 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081912 -               1225....mile 09 stopped EKG ... NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081913 -               1225....Naproxen 250 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081914 -               1225... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081915 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081916 -               1225... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081917 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081918 -               1414... Hike ends mile 15... ref SDS 0 YTQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081919 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081920 -               1430....weight.................................... 182  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081921 -               1646....BP HR..................................................... 103  59 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081922 -               1704....BP HR..................................................... 108  70 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081923 -               1440....BP HR..................................................... 163  76  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081924 -               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                                                                                                                                                                                                                                                                                  
081925 -               1900............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081926 -               1900............ 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                                                                                                                                                                                                                                                                                                                                                                                   
081927 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081928 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081929 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081930 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081931 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081932 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081933 -               0000... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081936 -  ..
081937 - Trying hiking because wounds on feet have healed somewhat.  Will see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081938 - what happens....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081940 -  ..
081941 - Trying to enter standard record for hiking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081943 -  ..
081944 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081945 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081947 -  ..
081948 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081949 - pain no longer in toes down to heels.  Still pins and needles tingling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081950 - in evening, when feet are elevated in reclining chair.  Toes and heels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081951 - both feet feel and look less blistered, and itch less severely tonight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081952 - after hiking regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081954 -  ..
081955 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081956 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081958 -  ..
081959 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081962 -  ..
081963 - Summary...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081965 -  ..
081966 - Today, hiked 21 miles - temperature 80 and windy.  Starting PL 0, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081967 - 2 Naproxen 250 mg to start.  Needed 1 more at mile 09, which is a big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081968 - improvement after PRP on 260403.  Took magnesium to start, and at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081969 - 09.  Heart rate in sinus all the way tracking changes in elevation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081970 - Finally did some of Crystal Ranch Road loop, about 4 miles.  Rigorous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081971 - uphill training today hopefully will help hiking Point Lobos and Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081972 - Highway at VA in San Francisco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081974 -         ..
081975 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081976 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081977 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
081978 -        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                                                                                                                                                                                                                                                                                                                                                                                         
081979 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081980 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081981 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081982 -        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                                                                                                                                                                                                                                                                                                                           
081983 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081984 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081985 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081986 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081987 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
081988 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081989 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
081990 -        Hands sunburned itching rash.................   2        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081991 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
081992 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081993 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081994 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081995 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081996 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
081997 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081998 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081999 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082000 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082001 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
082002 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082003 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082004 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082005 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082006 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082007 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082008 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082009 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082010 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082011 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082012 -        Metatarsalgia left foot...PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082013 -        Metatarsalgia right foot..PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082014 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082015 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
082016 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082017 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082018 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
082019 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
082020 -        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                                                                                                                                                                                                                                                                                                                           
082021 -        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                                                                                                                                                                                                                                                                                                                                                                                    
082022 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082023 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
082024 -        Callus big toe left foot...PRP 210705........   2         20  Reduced from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                             
082025 -        Callus big toe right foot...PRP 210705.......   0        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082026 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082027 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
082028 -        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                                                                                                                                                                                                                                                                                                                                           
082029 -        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                                                                                                                                                                                                                                                                                                                                           
082030 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082031 -  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                                                                                                                                                                                                                                                                                                                                                                                      
082032 -        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                                                                                                                                                                                                                                                                                                                                                                                        
082033 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
082034 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
082035 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082036 -        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                                                                                                                                                                                                                                                                                                                                                              
082037 -  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                                                                                                                                                                                                                                                                                                                                                                                      
082038 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
082039 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082040 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082041 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
082042 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082043 -        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                                                                                                                                                                                                                                                                                          
082044 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
082045 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082046 -        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                                                                                                                                                                                                                                                                                                                                                                               
082047 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082048 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082049 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082050 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082051 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082052 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082053 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082054 -        Wobbly disoriented staggering dizzy..........   3         40  after 2 oxycodone at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                         
082055 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082056 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082060 -  ..
082061 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082062 - 9 size 10.5 width 4E extra-wide, purchased on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082064 - 260206 1030. ref SDS B9 XKYF  More importantly, testing shoes after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082065 - being stretched to reduce lateral pressure on #1s and #5s, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082066 - 260512 1548. ref SDS C3 ZGSU  First eyelets not laced, and first laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082067 - very loose.  Extra Wide shoes reduce lateral pressure compared to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082068 - simply wide.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082070 -  ..
082071 - Orthotic inserts - wore Stable Elite - switched from new version of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082072 - Powerstep inserts created by Doctor Hewittson on 250325 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082073 - ref SDS 87 5Q5M and explained in case study record on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082074 - ref SDS 21 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082076 -  ..
082077 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082079 -  ..
082080 - Callus Injuries - today on 260512 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082081 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082082 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082084 -  ..
082085 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082086 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082087 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082088 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082090 -  ..
082091 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082092 - ref SDS 71 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082093 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082094 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082095 - ref SDS 21 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082098 -  ..
082099 - Concord 21 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082100 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082101 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082102 - and also left hip, which was PL 4 few hours yesterday evening, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082103 - this morning, but calmed down.  Took 1 Naproxen 500 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082104 - management - there is no metatarsalgia pain today, in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082105 - the hike, and both feet #1 and #5 calluses both PL 0 - will be treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082106 - by Doctor Tang tomorrow.  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082107 - energy, absorbing lactic acid, and reducing inflammation, so allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082108 - HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082109 - vessels - see research on 200101 0701, ref SDS 21 QP6L - Swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082110 - pills whole combined with small amount avocado for HDL, mayonaise,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082111 - peanut butter and margarine - pills slip through LESV swallowed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082112 - food.  Just before starting hike took liquic Turmeric Curcumin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082113 - Ubiquinol CoQ10 per above. ref SDS 0 7JCF  CoQ10 is an enzyme produced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082114 - in the body that supports an electron transport chain (ETC) giving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082115 - human cells energy - see case study on 200101 0701. ref SDS 21 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082116 - No breakfast reduces bloating feeling starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082117 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082118 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082119 - rate) see case study on 200101 0701. ref SDS 21 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082120 - carry stuff - good to build conditioning for Half Dome.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082121 - .25 mile and turned left, onto Treat.  Starting hike feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082122 - swelled and like pins and needles - did not feel electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082123 - balls of feet this morning due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082124 - statins, diabetes, and dysfunctional ANS.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082125 - calming down.  Bottom of both feet minor metatarsalgia pain, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082126 - significant ( >5 ) pain both feet #1 and #5, have been severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082127 - painful when hiking that required missing most days hiking for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082128 - injuries to heal past 30 days.  Breathed through nose entire hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082129 - no dyspnea, indicating condition has sustained, despite minimal hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082130 - last few months.  Temperature started at 65, and reached 80.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082131 - wind 12 mph and mostly 8 mph.  Started hiking 1 mile around the block                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082132 - to verify feet will hold up.  Continued East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082133 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082134 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082135 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082136 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082137 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082138 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082139 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082140 - Stoppled at Lucky store to buy banana with potassium that complements                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082141 - meds for energy, and makes swallowing meds easier.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082142 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082143 - Energy good, so did not need to stop at mile 4 time ____ in Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082144 - Mike's Pizza restaurant for taking meds for energy to hike.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082145 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082146 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082147 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082148 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082149 - Stop Light at Michigan Boulevard.  Turned left hiked .50 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082150 - At Discovery Way turned around and hiked back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082151 - Stopped at Chevron gas station store mile 08 time 1151 temp 74 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082152 - wind 09 mph; EKG looks uniform with minor artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082153 - HR 113 Tachycardia, - see below. ref SDS 0 MF4E  Bloating PL 2, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082154 - feet metatarsalgia PL 2.  Left foot #1 PL 1 and #5 PL 2.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082155 - #5 PL 3.  Took 2 oxycodone 5 mg for pain.  Took 2 Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082156 - 300 mg pill for energy, absorbing lactic acid, per research on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082157 - 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin 2250 mg to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082158 - inflammation.  Took 2 CoQ10 to increase energy.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082159 - purchased from Chev store for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082160 - banana purhcased at Lucky that enables swallowing medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082161 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082162 - hike.  Did not take Nuun electrolyte pill.  Continued hike on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082163 - Hollow turning West onto Campus Drive uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082164 - against wind 15 mph.  The road bends North.  Turned left heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082165 - on Ygnacio Valley road about .25 mile.  Turned around and hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082166 - on Campus Drive 4% grade.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082167 - University East Bay Concord Campus.  Hiked 3 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082168 - buildings - used exercise equipment at back of buildings to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082169 - partial pullups and situps on each pass.  Back at Visitor Parking left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082170 - the college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082171 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082172 - turned left onto Crystal Ranch Road.  Hiked uphill 1 mile 6% - 9%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082173 - grade breathing through mouth with no dyspenea, however was very slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082174 - and difficult because have not hiked the past week, and very little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082175 - past month.  Continued on flat grade 1 mile, then downhill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082176 - Rolling Woods Way decided not to try hiking uphill .5 mile 12% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082177 - to summit.  Turned around and hiked .25 mile uphill .25 mile, then 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082178 - mile flat grade, and 2 miles downhill.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082179 - Valley road.  Hiked West 1 mile uphill.  At summit turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082180 - hiked .5 mile back to Cowell.  Turned left going 1 mile downhill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082181 - Turned left on Treat for .25 mile; turned right on Cunio and home - 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082182 - miles.  Ended hike mile 21 time 1608 temp 80, wind 12, bloating PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082183 - feet metatarsalgia PL 6, left foot #1 edge PL 4, #5 edge PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082184 - foot #1 PL 0, #5 PL 3, burning sensation PL 4.  EKG sinus with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082185 - artifact, Kardia reported HR 125 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082186 - YFX7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082198 -  ..
082199 - Kardia recorded HR 092 at 0832 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082200 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082201 - likely no AFL after hiking  0 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082202 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082203 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082204 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082205 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082208 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082209 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260701-ecg-083244_mile_00_092_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082215 -  ..
082216 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082217 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082218 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082220 - ..
082221 -                                                                                                                                                                                                                                                                                                              x
082222 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082223 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082224 -       Date          260701 ------ 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 25021  
082225 -       Miles            21            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  
082226 -       HR AVG          121           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  
082227 -         MAX           152           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   repo  
082228 -         Min            64            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         
082229 -       El Climb Ft     562           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         
082230 -       Temp Max         80            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         
082231 -       Wind Max         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         
082232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082234 -              https://flow.polar.com/training/analysis/8370832564                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082237 -               ..
082239 -   
082240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082244 -  ..
082245 - EKG at mile 08 time 1151, HR 113 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082246 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082247 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082250 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082251 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260701-ecg-115149_mile_08_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082256 -  ..
082257 - End hike EKG at mile 21, time 1608 HR 125 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082258 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082259 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082262 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082263 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260701-ecg-160807_mile_21_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082269 -  ..
082270 - Post hike HR profile beginning 2000, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082271 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082272 - elevated HR > 130, indicates no AFL, and possible atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082273 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082274 - 240611 0930, ref SDS 56 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082275 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082278 -        ..
082279 -       Date      260701  260630  260629  260628  ......  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    
082280 -       Time       1936    2008    2000    2201            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     
082281 -       Hours         6      10      11      11               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     
082282 -       HR AVG       64      62      70      56              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     
082283 -       HR MAX      101     131     107      97             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     
082284 -       HR Min       41      37      39      36              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     
082285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082289 -              https://flow.polar.com/training/analysis/8371016916                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082291 -  ..
082292 - HRV seems  20% 0 and  20% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082296 -   
082297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082299 -  ..
082300 - Breakfast - avocado with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082301 - Lunch - banana with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082302 - Dinner - steak brocolli cauliflower potato onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082304 -  ..
082305 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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082315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082324 -         ..
082325 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082326 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082327 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082328 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082329 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082330 -  132.  260702 0230............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082331 -               0230....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082332 -               0235....BP HR..................................................... 159  82  66  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082333 -               0240....BP HR..................................................... 165  72  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082334 -               0235....BP HR..................................................... 152  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082335 -               0235....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082336 -               0235....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
082337 -               0330....Naproxen 500 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082338 -               0330....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082339 -               0330....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
082340 -               0330... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082341 -               0330....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082342 -               0330....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082343 -               0330....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082344 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082345 -               0330... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082346 -               0330....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
082347 -               0000...
082348 -  ..
082349 -               0430....miles...........  11.0  32.0  183   527 minutes  temp  59 wind 18  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082350 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082351 -               0604....mile 06 stopped EKG ... NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082352 -               0600....Naproxen 250 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082353 -               0604... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082354 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082355 -               0604... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082356 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082357 -               0735... Hike ends mile 11... ref SDS 0 7R36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082358 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082359 -               0740....weight.................................... 184  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082360 -               0740....BP HR..................................................... 113  69 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082361 -               0745....BP HR..................................................... 102  66 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082362 -               0750....BP HR.....................................................  93  61  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082363 -               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                                                                                                                                                                                                                                                                                  
082364 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082365 -               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                                                                                                                                                                                                                                                                                                                                                                                   
082366 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082367 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082368 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082369 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082370 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082371 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082372 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082375 -  ..
082376 - Trying hiking because wounds on feet have healed somewhat.  Will see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082377 - what happens....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082379 -  ..
082380 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082381 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082383 -  ..
082384 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082385 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082386 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082387 - chair.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082389 -  ..
082390 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082391 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082393 -  ..
082394 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082397 -  ..
082398 - Summary...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082400 -  ..
082401 - Today, hiked 11 miles - temperature 57 and windy.  Starting PL 0, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082402 - 2 Naproxen 500 mg to start.  Needed 1 more at mile 09, which is a big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082403 - improvement after PRP on 260403.  Took magnesium to start, and at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082404 - 09.  Heart rate little unsteady not tracking changes in elevation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082405 - Rigorous uphill training yesterday may have helped hiking Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082406 - and Great Highway at VA in San Francisco.  Had to breath through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082407 - mouth about mile 9, for about a mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082409 -         ..
082410 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082411 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082412 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
082413 -        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                                                                                                                                                                                                                                                                                                                                                                                         
082414 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082415 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082416 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082417 -        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                                                                                                                                                                                                                                                                                                                           
082418 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082419 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082420 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082421 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082422 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
082423 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082424 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
082425 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082426 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
082427 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082428 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082429 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082430 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082431 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
082432 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082433 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082434 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082435 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082436 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
082437 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082438 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082439 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082440 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082441 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082442 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082443 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082444 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082445 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082446 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082447 -        Metatarsalgia left foot...PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082448 -        Metatarsalgia right foot..PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082449 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082450 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
082451 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082452 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082453 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
082454 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
082455 -        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                                                                                                                                                                                                                                                                                                                           
082456 -        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                                                                                                                                                                                                                                                                                                                                                                                    
082457 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082458 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
082459 -        Callus big toe left foot...PRP 210705........   9         30  Increased from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                           
082460 -        Callus big toe right foot...PRP 210705.......   2        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082461 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082462 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
082463 -        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                                                                                                                                                                                                                                                                                                                                           
082464 -        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                                                                                                                                                                                                                                                                                                                                           
082465 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082466 -  new   Callus little toe right foot..top of toe.....   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                                                                                                                                                                                                                                                                                                                                                                                      
082467 -        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                                                                                                                                                                                                                                                                                                                                                                                        
082468 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
082469 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
082470 -        Blister ring toe left foot.new 240602........   3         30  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082471 -        Blister ring toe right foot.new 240713.......   3         30  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                                                                                                                                                                                                                                                                                                                                                              
082472 -  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                                                                                                                                                                                                                                                                                                                                                                                      
082473 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
082474 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082475 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082476 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
082477 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082478 -        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                                                                                                                                                                                                                                                                                          
082479 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
082480 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082481 -        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                                                                                                                                                                                                                                                                                                                                                                               
082482 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082483 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082484 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082485 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082486 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082487 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082488 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082489 -        Wobbly disoriented staggering dizzy..........   3         40  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
082490 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082491 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082495 -  ..
082496 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082497 - 9 size 10.5 width 4E extra-wide, purchased on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082499 -  ..
082500 - Callus Injuries - today on 260702 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082501 - Had PL 0 starting; gradually increased PL 8 over entire route - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082502 - not take more pain meds at halfway, but at 75% took another Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082503 - 500 mg.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082505 -  ..
082506 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082507 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082511 -  ..
082512 - San Francisco 11 mile route, reported on 170519, ref SDS 9 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082513 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082514 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082515 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082516 - and also left hip. ref SDS 0 DHWP  Before starting hike at hospital,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082517 - took 2 Naproxen 500 mg, for pain management, and took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082518 - Complex 300 mg pills for energy; and to absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082519 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082520 - together with EPCs regress plaque in blood vessels, see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082521 - 200101 0701, ref SDS 21 QP6L  Also took 2 COQ10 pill for energy - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082522 - not difficult swallowing these large pills whole, recommended by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082523 - manufacturer, because swallowed with food, and despite EGD has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082524 - been dilated LESV since 260421 0830, ref SDS C2 UN5Q, see report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082525 - clogging LESV on 240824. ref SDS 39 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082526 - butter and margarine, and Mayonnaise, and had some avocado for HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082527 - ...and took 5 ml liquid Ubiquinol CoQ10 - all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082528 - DHWP  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082529 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082530 - study on 200101 0701. ref SDS 21 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082531 - feeling, but still bloated starting hike today, from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082532 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082533 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082534 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082535 - nervous system (see analysis on 250114 1202, ref SDS 73 PQ5Y).  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082536 - not Take backpack to carry stuff because extra weight increases damage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082537 - and pain to feet injuries.  Temperature mild 56 and strong Southerly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082538 - wind 18 mph.  Departed VAMCSF campus in dark at 0430.  Hiked slowly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082539 - downhill on 42nd Street to warm up.  Turned corner heading downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082540 - West on Point Lobos to Cliff House at mile 1.  Road bends and changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082541 - to "Great Highway" going South along ocean beach.  Pace picked up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082542 - CoQ10 and magnesium was digested and increased strength.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082543 - turned onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082544 - Maintained pace going slightly uphill into the park for .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082545 - Encountered early morning jogger going West but now much slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082546 - walking instead of jogging - just said hello.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082547 - continued East on JFK.  Dark and with few widely spaced street lights,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082548 - cannot see the road.  Passed Buffalo compound, then Spreckles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082549 - Hiked past Lindley Meadow.  Still nobody else in the park.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082550 - Helman Hollow.  Both feet pain level 1.  Hiked under bridge at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082551 - Crossover Drive (part of highway 1 that goes to Golden Gate Bridge). -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082552 - JFK is blocked to vehicle traffic the rest of the way through the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082553 - to Stanyon, limiting attendance to keep people separated that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082554 - minimizes spreading coronavirus.  Now that the epidemic has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082555 - declared over, the park continues to deny At mile 6, hiked past De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082556 - Young Museum.  Stopped at mile 5.5 time 0604, temp 56, wind 57; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082557 - mostly uniform with minor artifact.  Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082558 - Tachycardia - see below. ref SDS 0 PFWZ  Bloating PL 4, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082559 - PL 5, wobbly PL 3 after taking 2 Naproxen 500 mg starting hike; feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082560 - PL 3 metatarsalgia, burning sensation PL 3, left foot #1 PL 3 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082561 - PL 4, right foot #1 PL 2, #4 PL 0, #5 PL 5, left knee PL 0, and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082562 - hamstring PL 0.  Took 1 Naproxen.  Took 1 Magnesium.  Took 1 CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082563 - No sips softdrink carried from home for hydration, swallowing meds but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082564 - not nutrition - peanut butter, margarine, Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082565 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082566 - HDL, did not take Nuun electrolyte pill.  Took 5 ml Ubiquinol liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082567 - CoQ10, all per above. ref SDS 0 7KW8  Turned around hiked back on JFK,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082568 - heading West toward the Ocean.  Stayed on South side against traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082569 - (no actual vehicle traffic in park).  Increased pace with magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082570 - kicking in and endorphins rising.  About mile 8, Waterfall this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082571 - morning at 0624, before passing under Crossover Road bridge at highway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082572 - 1.  Took detour around Hellman Hollow and Lindley Meadow.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082573 - Fulton West.  At ocean, turned North onto Great Highway.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082574 - parallel to Ocean Beach toward the Cliff House and hospital.  Halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082575 - to Cliff House had liquid CoQ10 for energy.  Pace slowed hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082576 - steep hill - 5% - 9% grade - did not stop.  About mile 9 breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082577 - through mouth - dyspnea - today, unlike yesterday breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082578 - nose hiking Crystal Ranch Road in Concord.  Reflects pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082579 - past month that has degraded cardiovascular condition.  At the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082580 - House, turned onto Point Lobos Avenue going East; hiked uphill for 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082581 - mile.  Turned onto 42nd street and hiked up final hill to the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082582 - campus.  Ended hike mile 11, time 0735 temp 58, wind 18, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082583 - 6, energy deficit PL 7, feet metatarsalgia PL 4, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082584 - 2, left foot #1 PL 8, #5 PL 7.  Right foot #5 PL 3, and #1 PL 0.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082585 - variable with significant artifact, Kardia reported HR 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082586 - Unclassified - see below. ref SDS 0 7R36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082597 -  ..
082598 - Kardia recorded HR 065 at 0244 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082599 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082600 - likely no AFL after hiking  21 miles temp 80 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082601 - ref SDS 0 7WOV, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082602 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082603 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082604 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082605 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082608 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082609 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260702-ecg-024418_mile_00_065_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082615 -  ..
082616 - Polar HR GPS study *** low accuracy GPS used *** in San Francisco,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082617 - California, hike 11 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082618 - ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082622 - ..
082623 -                                                                                                                                                                                                                                                                                                              x
082624 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082625 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082626 -       Date          260702 260701 ------ 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  
082627 -       Miles            13     21            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  
082628 -       HR AVG          116    121           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  
082629 -         MAX           141    152           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  
082630 -         Min            81     64            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  
082631 -       El Climb Ft     226    562           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  
082632 -       Temp Max         58     80            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  
082633 -       Wind Max         17     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  
082634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082636 -              https://flow.polar.com/training/analysis/8371246630                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082639 -               ..
082641 -   
082642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082646 -  ..
082647 - EKG at mile 06 time 0604, HR 105 temp 56, wind 57; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082648 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082649 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082652 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082653 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260702-ecg-060424_mile_06_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082658 -  ..
082659 - End hike EKG at mile 11, time 0735 HR 114 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082660 - Unclassified... looks mostly variable with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082661 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082664 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082665 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260702-ecg-073545_mile_11_114_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082672 -  ..
082673 - Post hike HR profile beginning 2020, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082674 - hiking 11 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082675 - elevated HR > 130, indicates no AFL, and no possible atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082676 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082677 - ablation on 240611, 240611 0930, ref SDS 56 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082678 - on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082681 -        ..
082682 -       Date      260702  260701  260630  260629  260628  ......  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    
082683 -       Time       2020    1936    2008    2000    2201            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     
082684 -       Hours        11       6      10      11      11               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     
082685 -       HR AVG       66      64      62      70      56              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     
082686 -       HR MAX      120     101     131     107      97             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     
082687 -       HR Min       39      41      37      39      36              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     
082688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082693 -              https://flow.polar.com/training/analysis/8371016916                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082695 -  ..
082696 - HRV seems  10% 0 and  50% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082700 -   
082701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082703 -  ..
082704 - Breakfast - avocado with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082705 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082706 - Dinner - eggs steak few bites brocolli onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082708 -  ..
082709 - Vomiting: 80% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082711 -  ..
082712 - After hike and getting care in Podiatry, had eggs with cheese and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082713 - onion in cafeteria.  Vomitted nearly everything.  Throat seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082714 - clogged and similar to after hiking Half Dome in 2016, when took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082715 - Naproxen without water.  This clogged the throat and ulcerated LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082716 - Today took Naproxen and magnesium about mile 8.  May have clogged                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082717 - throat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082739 -         ..
082740 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082741 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082742 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082743 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082744 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082745 -  132.  260703 0704............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082746 -               0704....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082747 -               0705....BP HR..................................................... 159  62  64  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082748 -               0710....BP HR..................................................... 160  69  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082749 -               0715....BP HR..................................................... 152  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082750 -               0715....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082751 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
082752 -               0000....Naproxen 500 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082753 -               0000....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082754 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
082755 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082756 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082757 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082758 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082759 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082760 -               0300... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082761 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
082762 -               0000...
082763 -  ..
082764 -               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                                                                                                                                                                                                                                                                                  
082765 -               1900............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082766 -               1900............ 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                                                                                                                                                                                                                                                                                                                                                                                   
082767 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082768 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082769 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082770 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082771 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082772 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082773 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082776 -  ..
082777 - Pause hiking for wounds to heal from Podiatry care on 260702 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082778 - ref SDS C4 T49H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082782 -  ..
082783 - Kardia recorded HR 058 at 0919 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082784 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082785 - likely no AFL after hiking 11 miles temp 59 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082786 - ref SDS 0 8O5Q, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082787 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082788 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082789 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082790 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082793 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082794 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260703-egc-091910_mile_00_058_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082799 -  ..
082800 - Post hike HR profile beginning 1925, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082801 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082802 - elevated HR > 130, indicates no AFL, and no possible atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082803 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082804 - ablation on 240611, 240611 0930, ref SDS 56 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082805 - on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082808 -        ..
082809 -       Date      260703  260702  260701  260630  260629  260628  ......  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    
082810 -       Time       1925    2020    1936    2008    2000    2201            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     
082811 -       Hours        12      11       6      10      11      11               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     
082812 -       HR AVG       69      66      64      62      70      56              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     
082813 -       HR MAX      118     120     101     131     107      97             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     
082814 -       HR Min       39      39      41      37      39      36              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     
082815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082820 -              https://flow.polar.com/training/analysis/8372426865                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082822 -  ..
082823 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082827 -   
082828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082830 -  ..
082831 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082832 - Lunch - sandwich roast beef cheese onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082833 - Dinner - macaroni cheese hamburger onion brocolli cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082835 -  ..
082836 - Vomiting: 40% dinner - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082859 -         ..
082860 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082861 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082862 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082863 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082864 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082865 -  132.  260704 0719............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082866 -               0719....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082867 -               0720....BP HR..................................................... 168  61  66  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082868 -               0725....BP HR..................................................... 149  68  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082869 -               0730....BP HR..................................................... 158  73  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082870 -               0735....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082871 -               0735....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
082872 -               0000....Naproxen 500 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082873 -               0000....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082874 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
082875 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082876 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082877 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082878 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082879 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082880 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082881 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
082882 -               0000...
082883 -  ..
082884 -               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                                                                                                                                                                                                                                                                                  
082885 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082886 -               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                                                                                                                                                                                                                                                                                                                                                                                   
082887 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082888 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082889 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082890 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082891 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082892 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082893 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082896 -  ..
082897 - Pause hiking for wounds to heal from Podiatry care on 260702 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082898 - ref SDS C4 T49H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082902 -  ..
082903 - Kardia recorded HR 068 at 1018, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082904 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082905 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 KXN9, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082906 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082907 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082908 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082909 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082912 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082913 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260704-ecg-101839_mile_00_068_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082918 -  ..
082919 - Post hike HR profile beginning 1953, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082920 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082921 - elevated HR > 130, indicates no AFL, and no possible atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082922 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082923 - ablation on 240611, 240611 0930, ref SDS 56 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082924 - on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082927 -        ..
082928 -       Date      260704  260703  260702  260701  260630  260629  260628  ......  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    
082929 -       Time       1953    1925    2020    1936    2008    2000    2201            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     
082930 -       Hours        11      12      11       6      10      11      11               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     
082931 -       HR AVG       60      69      66      64      62      70      56              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     
082932 -       HR MAX      115     118     120     101     131     107      97             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     
082933 -       HR Min       38      39      39      41      37      39      36              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     
082934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082939 -              https://flow.polar.com/training/analysis/8373043468                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082941 -  ..
082942 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082946 -   
082947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082949 -  ..
082950 - Breakfast - eggs bacon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082951 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082952 - Dinner - macaroni cheese hamburger onion brocolli cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082954 -  ..
082955 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082977 -         ..
082978 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082979 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082980 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082981 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082982 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082983 -  132.  260705 0704............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082984 -               0704....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082985 -               0710....BP HR..................................................... 163  77  44  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082986 -               0715....BP HR..................................................... 152  80  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082987 -               0720....BP HR..................................................... 156  83  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082988 -               0725....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082989 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
082990 -               0000....Naproxen 500 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082991 -               0000....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082992 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
082993 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082994 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082995 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082996 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082997 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082998 -               0300... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082999 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
083000 -               0000...
083001 -  ..
083002 -               0000....miles...........  11.0  32.0  183   527 minutes  temp  59 wind 18  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083003 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083004 -               0000....mile 06 stopped EKG ... NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083005 -               0000....Naproxen 250 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083006 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083007 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083008 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083009 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083010 -               0000... Hike ends mile 11... ref SDS 0 7R36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083011 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083012 -               0740....weight.................................... 184  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083013 -               0740....BP HR..................................................... 113  69 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083014 -               0745....BP HR..................................................... 102  66 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083015 -               0750....BP HR.....................................................  93  61  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083016 -               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                                                                                                                                                                                                                                                                                  
083017 -               1900............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083018 -               1900............ 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                                                                                                                                                                                                                                                                                                                                                                                   
083019 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083020 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083021 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083022 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083023 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083024 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083025 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083028 -  ..
083029 - Trying hiking because wounds on feet have healed somewhat.  Will see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083030 - what happens....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083032 -  ..
083033 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083034 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083036 -  ..
083037 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083038 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083039 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083040 - chair.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083042 -  ..
083043 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083044 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083046 -  ..
083047 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083050 -  ..
083051 - Summary...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083053 -  ..
083054 - Today, hiked 11 miles - temperature 57 and windy.  Starting PL 0, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083055 - 2 Naproxen 500 mg to start.  Needed 1 more at mile 09, which is a big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083056 - improvement after PRP on 260403.  Took magnesium to start, and at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083057 - 09.  Heart rate little unsteady not tracking changes in elevation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083058 - Rigorous uphill training yesterday may have helped hiking Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083059 - and Great Highway at VA in San Francisco.  Had to breath through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083060 - mouth about mile 9, for about a mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083062 -         ..
083063 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083064 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083065 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
083066 -        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                                                                                                                                                                                                                                                                                                                                                                                         
083067 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083068 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083069 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083070 -        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                                                                                                                                                                                                                                                                                                                           
083071 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083072 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083073 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083074 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083075 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
083076 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083077 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
083078 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083079 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
083080 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083081 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083082 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083083 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083084 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
083085 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083086 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083087 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083088 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083089 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
083090 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083091 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083092 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083093 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083094 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083095 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083096 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083097 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083098 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083099 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083100 -        Metatarsalgia left foot...PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083101 -        Metatarsalgia right foot..PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083102 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083103 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
083104 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083105 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083106 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
083107 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
083108 -        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                                                                                                                                                                                                                                                                                                                           
083109 -        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                                                                                                                                                                                                                                                                                                                                                                                    
083110 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083111 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
083112 -        Callus big toe left foot...PRP 210705........   9         30  Increased from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                           
083113 -        Callus big toe right foot...PRP 210705.......   2        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083114 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083115 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
083116 -        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                                                                                                                                                                                                                                                                                                                                           
083117 -        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                                                                                                                                                                                                                                                                                                                                           
083118 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083119 -  new   Callus little toe right foot..top of toe.....   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                                                                                                                                                                                                                                                                                                                                                                                      
083120 -        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                                                                                                                                                                                                                                                                                                                                                                                        
083121 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
083122 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
083123 -        Blister ring toe left foot.new 240602........   3         30  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083124 -        Blister ring toe right foot.new 240713.......   3         30  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                                                                                                                                                                                                                                                                                                                                                              
083125 -  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                                                                                                                                                                                                                                                                                                                                                                                      
083126 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
083127 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083128 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083129 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
083130 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083131 -        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                                                                                                                                                                                                                                                                                          
083132 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
083133 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083134 -        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                                                                                                                                                                                                                                                                                                                                                                               
083135 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083136 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083137 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083138 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083139 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083140 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083141 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083142 -        Wobbly disoriented staggering dizzy..........   3         40  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
083143 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083144 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083148 -  ..
083149 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083150 - 9 size 10.5 width 4E extra-wide, purchased on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083152 -  ..
083153 - Callus Injuries - today on 260702 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083154 - Had PL 0 starting; gradually increased PL 8 over entire route - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083155 - not take more pain meds at halfway, but at 75% took another Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083156 - 500 mg.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083158 -  ..
083159 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083160 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083164 -  ..
083165 - San Francisco 11 mile route, reported on 170519, ref SDS 9 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083166 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083167 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083168 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083169 - and also left hip. ref SDS 0 DHWP  Before starting hike at hospital,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083170 - took 2 Naproxen 500 mg, for pain management, and took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083171 - Complex 300 mg pills for energy; and to absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083172 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083173 - together with EPCs regress plaque in blood vessels, see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083174 - 200101 0701, ref SDS 21 QP6L  Also took 2 COQ10 pill for energy - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083175 - not difficult swallowing these large pills whole, recommended by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083176 - manufacturer, because swallowed with food, and despite EGD has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083177 - been dilated LESV since 260421 0830, ref SDS C2 UN5Q, see report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083178 - clogging LESV on 240824. ref SDS 39 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083179 - butter and margarine, and Mayonnaise, and had some avocado for HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083180 - ...and took 5 ml liquid Ubiquinol CoQ10 - all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083181 - DHWP  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083182 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083183 - study on 200101 0701. ref SDS 21 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083184 - feeling, but still bloated starting hike today, from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083185 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083186 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083187 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083188 - nervous system (see analysis on 250114 1202, ref SDS 73 PQ5Y).  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083189 - not Take backpack to carry stuff because extra weight increases damage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083190 - and pain to feet injuries.  Temperature mild 56 and strong Southerly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083191 - wind 18 mph.  Departed VAMCSF campus in dark at 0430.  Hiked slowly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083192 - downhill on 42nd Street to warm up.  Turned corner heading downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083193 - West on Point Lobos to Cliff House at mile 1.  Road bends and changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083194 - to "Great Highway" going South along ocean beach.  Pace picked up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083195 - CoQ10 and magnesium was digested and increased strength.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083196 - turned onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083197 - Maintained pace going slightly uphill into the park for .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083198 - Encountered early morning jogger going West but now much slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083199 - walking instead of jogging - just said hello.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083200 - continued East on JFK.  Dark and with few widely spaced street lights,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083201 - cannot see the road.  Passed Buffalo compound, then Spreckles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083202 - Hiked past Lindley Meadow.  Still nobody else in the park.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083203 - Helman Hollow.  Both feet pain level 1.  Hiked under bridge at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083204 - Crossover Drive (part of highway 1 that goes to Golden Gate Bridge). -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083205 - JFK is blocked to vehicle traffic the rest of the way through the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083206 - to Stanyon, limiting attendance to keep people separated that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083207 - minimizes spreading coronavirus.  Now that the epidemic has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083208 - declared over, the park continues to deny At mile 6, hiked past De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083209 - Young Museum.  Stopped at mile 5.5 time 0604, temp 56, wind 57; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083210 - mostly uniform with minor artifact.  Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083211 - Tachycardia - see below. ref SDS 0 PFWZ  Bloating PL 4, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083212 - PL 5, wobbly PL 3 after taking 2 Naproxen 500 mg starting hike; feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083213 - PL 3 metatarsalgia, burning sensation PL 3, left foot #1 PL 3 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083214 - PL 4, right foot #1 PL 2, #4 PL 0, #5 PL 5, left knee PL 0, and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083215 - hamstring PL 0.  Took 1 Naproxen.  Took 1 Magnesium.  Took 1 CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083216 - No sips softdrink carried from home for hydration, swallowing meds but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083217 - not nutrition - peanut butter, margarine, Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083218 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083219 - HDL, did not take Nuun electrolyte pill.  Took 5 ml Ubiquinol liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083220 - CoQ10, all per above. ref SDS 0 7KW8  Turned around hiked back on JFK,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083221 - heading West toward the Ocean.  Stayed on South side against traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083222 - (no actual vehicle traffic in park).  Increased pace with magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083223 - kicking in and endorphins rising.  About mile 8, Waterfall this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083224 - morning at 0624, before passing under Crossover Road bridge at highway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083225 - 1.  Took detour around Hellman Hollow and Lindley Meadow.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083226 - Fulton West.  At ocean, turned North onto Great Highway.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083227 - parallel to Ocean Beach toward the Cliff House and hospital.  Halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083228 - to Cliff House had liquid CoQ10 for energy.  Pace slowed hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083229 - steep hill - 5% - 9% grade - did not stop.  About mile 9 breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083230 - through mouth - dyspnea - today, unlike yesterday breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083231 - nose hiking Crystal Ranch Road in Concord.  Reflects pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083232 - past month that has degraded cardiovascular condition.  At the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083233 - House, turned onto Point Lobos Avenue going East; hiked uphill for 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083234 - mile.  Turned onto 42nd street and hiked up final hill to the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083235 - campus.  Ended hike mile 11, time 0735 temp 58, wind 18, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083236 - 6, energy deficit PL 7, feet metatarsalgia PL 4, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083237 - 2, left foot #1 PL 8, #5 PL 7.  Right foot #5 PL 3, and #1 PL 0.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083238 - variable with significant artifact, Kardia reported HR 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083239 - Unclassified - see below. ref SDS 0 7R36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083250 -  ..
083251 - Kardia recorded HR 046 at 0718, bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083252 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083253 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 A63E, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083254 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083255 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083256 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083257 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083260 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083261 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260705-ecg-071857_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083267 -  ..
083268 - Polar HR GPS study *** low accuracy GPS used *** in San Francisco,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083269 - California, hike 11 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083270 - ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083274 - ..
083275 -                                                                                                                                                                                                                                                                                                              x
083276 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083277 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083278 -                     x      x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083279 -       Date          260702 260701 ------ 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  
083280 -       Miles            13     21            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  
083281 -       HR AVG          116    121           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  
083282 -         MAX           141    152           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  
083283 -         Min            81     64            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  
083284 -       El Climb Ft     226    562           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  
083285 -       Temp Max         58     80            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  
083286 -       Wind Max         17     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  
083287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083289 -              https://flow.polar.com/training/analysis/8371246630                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083292 -               ..
083294 -   
083295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083299 -  ..
083300 - EKG at mile 06 time 0604, HR 105 temp 56, wind 57; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083301 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083302 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083305 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083306 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260702-ecg-060424_mile_06_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083311 -  ..
083312 - End hike EKG at mile 11, time 0735 HR 114 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083313 - Unclassified... looks mostly variable with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083314 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083317 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083318 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260702-ecg-073545_mile_11_114_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083324 -  ..
083325 - Post hike HR profile beginning 1953, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083326 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083327 - elevated HR > 130, indicates no AFL, and no possible atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083328 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083329 - ablation on 240611, 240611 0930, ref SDS 56 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083330 - on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083333 -        ..
083334 -       Date      260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
083335 -       Time       2052    1953    1925    2020    1936    2008    2000    2201            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     
083336 -       Hours        10      11      12      11       6      10      11      11               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     
083337 -       HR AVG       65      60      69      66      64      62      70      56              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     
083338 -       HR MAX      125     115     118     120     101     131     107      97             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     
083339 -       HR Min       36      38      39      39      41      37      39      36              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     
083340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083345 -              https://flow.polar.com/training/analysis/8373628124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083347 -  ..
083348 - HRV seems  10% 0 and  20% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083352 -   
083353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083355 -  ..
083356 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083357 - Lunch - macaroni cheese hamburger onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083358 - Dinner - steak potato onion brocolli - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083360 -  ..
083361 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083384 -         ..
083385 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083386 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083387 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083388 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083389 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083390 -  132.  260706 0700............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083391 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083392 -               0700....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
083393 -               0700....BP HR..................................................... 162  80  49  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083394 -               0705....BP HR..................................................... 155  80  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083395 -               0710....BP HR..................................................... 166  80  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083396 -               0715....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083397 -               1120....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083398 -               1120....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
083399 -               1120... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083400 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083401 -               1120....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083402 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083403 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083404 -               1120....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083405 -               1156... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083406 -               1156....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
083407 -               0000...
083408 -  ..
083409 -               1159....miles...........  19.0  19.0  302   302 minutes  temp  80 wind 18  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083410 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083411 -               1344....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083412 -               1344....oxycodone 5 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083413 -               1344... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083414 -               1344... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083415 -               1344....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
083416 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083417 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083418 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083419 -               1732... Hike ends mile 19... ref SDS 0 7R36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083420 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083421 -               1750....weight.................................... 182  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083422 -               1756....BP HR..................................................... 110  67 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083423 -               1802....BP HR..................................................... 111  68  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083424 -               1810....BP HR..................................................... 117  75  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083425 -               1810... 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                                                                                                                                                                                                                                                                                  
083426 -               1900............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083427 -               1900............ 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                                                                                                                                                                                                                                                                                                                                                                                   
083428 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083429 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083430 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083431 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083432 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083433 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083434 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083437 -  ..
083438 - Trying hiking because wounds on feet have healed somewhat.  Will see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083439 - what happens....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083441 -  ..
083442 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083443 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083445 -  ..
083446 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083447 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083448 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083449 - chair.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083451 -  ..
083452 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083453 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083455 -  ..
083456 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083459 -  ..
083460 - Summary...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083462 -  ..
083463 - Today, hiked 19 miles - temperature 80 and windy.  Starting PL 0, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083464 - 1 Naproxen 500 mg to start.  Was bloated and uncomfortable, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083465 - gradually improved as hike continued.  Stopped at Chevron store for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083466 - meds and nutrition - 10 minute rest, hiked better 13 miles to home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083467 - Body seems in good condition, but feet hurting.  Need bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083468 - scheme to offload lateral pressure on edges of forefeet, especially                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083469 - left foot #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083472 -         ..
083473 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083474 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083475 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
083476 -        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                                                                                                                                                                                                                                                                                                                                                                                         
083477 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083478 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083479 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083480 -        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                                                                                                                                                                                                                                                                                                                           
083481 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083482 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083483 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083484 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083485 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
083486 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083487 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
083488 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083489 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
083490 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083491 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083492 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083493 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083494 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
083495 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083496 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083497 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083498 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083499 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
083500 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083501 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083502 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083503 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083504 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083505 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083506 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083507 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083508 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083509 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083510 -        Metatarsalgia left foot...PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083511 -        Metatarsalgia right foot..PRP 260403.........   2         40  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083512 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083513 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
083514 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083515 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083516 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
083517 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
083518 -        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                                                                                                                                                                                                                                                                                                                           
083519 -        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                                                                                                                                                                                                                                                                                                                                                                                    
083520 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083521 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
083522 -        Callus big toe left foot...PRP 210705........   6         60  Increased from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                           
083523 -        Callus big toe right foot...PRP 210705.......   3         40  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083524 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083525 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
083526 -        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                                                                                                                                                                                                                                                                                                                                           
083527 -        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                                                                                                                                                                                                                                                                                                                                           
083528 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083529 -  new   Callus little toe right foot..top of toe.....   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                                                                                                                                                                                                                                                                                                                                                                                      
083530 -        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                                                                                                                                                                                                                                                                                                                                                                                        
083531 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
083532 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
083533 -        Blister ring toe left foot.new 240602........   3         30  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083534 -        Blister ring toe right foot.new 240713.......   3         30  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                                                                                                                                                                                                                                                                                                                                                              
083535 -  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                                                                                                                                                                                                                                                                                                                                                                                      
083536 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
083537 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083538 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083539 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
083540 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083541 -        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                                                                                                                                                                                                                                                                                          
083542 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
083543 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083544 -        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                                                                                                                                                                                                                                                                                                                                                                               
083545 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083546 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083547 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083548 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083549 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083550 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083551 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083552 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
083553 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083554 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083558 -  ..
083559 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083560 - 9 size 10.5 width 4E extra-wide, purchased on 251129 1014. ref SDS B7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083561 - H3I9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083563 -  ..
083564 - Callus Injuries - today on 260706 bandaged left foot #1 with white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083565 - tape, rest applied Sport Shield.  Did not work well.  Feet hurt most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083566 - of hike.  Still need bandaging scheme to offload lateral pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083567 - edges of feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083569 -  ..
083570 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083571 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083575 -  ..
083576 - Concord 19 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083577 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083578 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083579 - and also left hip, which was PL 4 few days ago, but calmed down.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083580 - 1 Naproxen 500 mg for pain management - there is no metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083581 - today, in feet starting the hike, and both feet #1 and #5 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083582 - both PL 0 - were shaved down last week on 260702 0830. ref SDS C4 5H6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083583 - Took Magnesium Complex 300 mg pill for energy, absorbing lactic acid,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083584 - and reducing inflammation, so allowing HDL to increase that together                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083585 - with EPCs regress plaque in blood vessels - see research on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083586 - 0701, ref SDS 21 QP6L - Swallowed pills whole combined with small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083587 - amount avocado for HDL, mayonaise, peanut butter and margarine - pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083588 - slip through LESV swallowed with food.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083589 - liquic Turmeric Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 VKXV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083590 - CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083591 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083592 - 200101 0701. ref SDS 21 136K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083593 - starting hike from ischemic colitis caused by taking statins and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083594 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083595 - (arrhythmia - variable heart rate) see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083596 - ref SDS 21 O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083597 - conditioning for Half Dome - because extra weight increases pressures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083598 - on feet injuries.  Did not hike the mile loop around the block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083599 - start hike, which identifies bloating and feet wound issues that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083600 - be treated back at the house before issues arise miles from home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083601 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083602 - feeling swelled and like pins and needles - did not feel electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083603 - shocks in balls of feet this morning due to peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083604 - caused by statins, diabetes, and dysfunctional ANS.  Actually, these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083605 - afflictions seem quiet the past week or so.  Bottom of both feet minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083606 - metatarsalgia pain - significant ( >5 ) pain both feet #1 and #5, have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083607 - been severely painful when hiking that required missing most days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083608 - hiking for injuries to heal past 30 days.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083609 - entire hike with no dyspnea, indicating condition has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083610 - despite minimal hiking last few months.  Temperature started at 70,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083611 - and reached 80.  East wind 15 mph and mostly 8 mph, which was cooling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083612 - Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083613 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083614 - some places 3% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083615 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083616 - uphill 4% grade.  At end of Turtle Creek Road turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083617 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083618 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083619 - parking lots of shopping complex.  Did not stop at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083620 - banana with potassium that complements meds for energy, and makes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083621 - swallowing meds easier, because brought banana from house today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083622 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083623 - sidewalk .5 miles.  Energy good, so did not need to stop at mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083624 - time ____ in Mountain Mike's Pizza restaurant for taking meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083625 - energy to hike.  Turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083626 - concrete sidewalk .5 miles.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083627 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083628 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083629 - Continued West past Stop Light at Michigan Boulevard.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083630 - hiked 0.25 miles East, turned around and hiked back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083631 - Road.  Stopped at Chevron gas station store mile 06 time 1151 temp 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083632 - and wind 09 mph; EKG looks uniform with minor artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083633 - reported HR 113 Tachycardia, - see below. ref SDS 0 84GL  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083634 - 4, both feet metatarsalgia PL 2.  Left foot #1 PL 2 and #5 PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083635 - Right foot #5 PL 2.  Took 2 oxycodone 5 mg for pain.  Took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083636 - complex 300 mg pill for energy, absorbing lactic acid, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083637 - 200101 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin 2250 mg to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083638 - reduce inflammation.  Took 2 CoQ10 to increase energy.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083639 - purchased from Chev store for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083640 - banana purhcased at Lucky - that enables swallowing medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083641 - combined with bites of banana to slip through LESV now contracted due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083642 - to achalasia, pending dilation procedure scheduled on 260821.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083643 - Ubiquinol CoQ10 0.6 ml for HDL and energy to continue hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083644 - take Nuun electrolyte pill.  Continued hike on Pine Hollow 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083645 - East.  At Camino Solaro turned around hiked back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083646 - Road.  Turned left onto Campus Drive hiking 1 mile West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083647 - grade against wind 15 mph.  The road bends North.  Turned left heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083648 - West on Ygnacio Valley road .75 mile.  At Crystal Ranch Road, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083649 - around and hiked back.  Turned onto Campus Drive again and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083650 - uphill 4% grade .5 mile.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083651 - University East Bay Concord Campus.  Hiked 3 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083652 - buildings - used exercise equipment at back of buildings to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083653 - partial pullups and situps each pass.  Hiked 2 mile loop through staff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083654 - and student parking lots.  Back at Visitor Parking mile 14, left the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083655 - college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083656 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 15,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083657 - continued past Crystal Ranch Road, heading West on Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083658 - 1 mile uphill 3% grade against wind 12 mph.  At summit turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083659 - and hiked .5 mile back to Cowell.  Turned left going 1 mile downhill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083660 - Turned left on Treat for .25 mile; turned right on Cunio and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083661 - Ended hike mile 19 time 1732 temp 77, wind 12, bloating PL 4, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083662 - metatarsalgia PL 3, left foot #1 edge PL 4, #5 edge PL 4, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083663 - #1 PL 0, #5 PL 4, burning sensation PL 2.  EKG sinus with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083664 - artifact, Kardia reported HR 118 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083665 - DLSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083676 -  ..
083677 - Kardia recorded HR 046 at 0718, bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083678 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083679 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 A63E, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083680 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083681 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083682 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083683 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083686 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083687 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260706-ecg-074930_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083693 -  ..
083694 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083695 - California, hike 19 miles with max temperature 80, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083696 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083698 - ..
083699 -                                                                                                                                                                                                                                                                                                              x
083700 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083701 -                                                               z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083702 -                     x      x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083703 -       Date          260706 260705 260704 260703 260702 260701 ------ 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  
083704 -       Miles            19      0      0      0     13     21            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  
083705 -       HR AVG          118     no     no     no    116    121           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  
083706 -         MAX           147   report report report  141    152           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  
083707 -         Min            82                          81     64            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                
083708 -       El Climb Ft     604                         226    562           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                
083709 -       Temp Max         80                          58     80            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                
083710 -       Wind Max         15                          17     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                
083711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083713 -              https://flow.polar.com/training/analysis/8373953191                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083715 -               ..
083717 -   
083718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083722 -  ..
083723 - EKG at mile 06 time 1344, HR 102 temp 77, wind 12; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083724 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083725 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083728 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083729 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260706-ecg-134430_mile_06_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083734 -  ..
083735 - End hike EKG at mile 19, time 1732 HR 118 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083736 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083737 - case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083740 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083741 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260706-ecg-173216_mile_19_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083747 -  ..
083748 - Post hike HR profile beginning 2123, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083749 - hiking 19 miles with temperature 80, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083750 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083751 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083752 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083753 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083756 -        ..
083757 -       Date      260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
083758 -       Time       2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
083759 -       Hours        10      10      11      12      11       6      10      11      11               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     
083760 -       HR AVG       63      65      60      69      66      64      62      70      56              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     
083761 -       HR MAX      126     125     115     118     120     101     131     107      97             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     
083762 -       HR Min       40      36      38      39      39      41      37      39      36              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     
083763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083768 -              https://flow.polar.com/training/analysis/8374308161                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083770 -  ..
083771 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083775 -   
083776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083778 -  ..
083779 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083780 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083781 - Dinner - eggs steak potato onion brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083783 -  ..
083784 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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083809 -         ..
083810 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083811 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083812 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083813 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083814 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083815 -  132.  260707 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083816 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083817 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
083818 -               0720....BP HR..................................................... 157  76  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083819 -               0725....BP HR..................................................... 151  75  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083820 -               0730....BP HR..................................................... 177  62  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083821 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083822 -               1010....Magnesium 300 mg 2 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083823 -               1010....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
083824 -               1010... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083825 -               1010....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083826 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083827 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083828 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083829 -               1010....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083830 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083831 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
083832 -               0000...
083833 -  ..
083834 -               1019....miles...........   4.0  23.0   65    65 minutes  temp  67 wind 20  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083835 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083836 -               0000....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083837 -               0000....oxycodone 5 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083838 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083839 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083840 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
083841 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083842 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083843 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083844 -               1141... Hike ends mile 04... ref SDS 0 ZJXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083845 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083846 -               1150....weight.................................... 185  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083847 -               1155....BP HR..................................................... 127  72  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083848 -               1200....BP HR..................................................... 119  68  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083849 -               1205....BP HR..................................................... 125  75  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083850 -               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                                                                                                                                                                                                                                                                                  
083851 -               1900............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083852 -               1900............ 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                                                                                                                                                                                                                                                                                                                                                                                   
083853 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083854 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083855 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083856 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083857 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083858 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083859 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083862 -  ..
083863 - Short hike to bank and back with money for house cleaning crew;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083864 - testing feet with Brooks Ghost 2016 shoe model.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083866 -  ..
083867 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083868 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083870 -  ..
083871 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083872 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083873 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083874 - chair.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083876 -  ..
083877 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083878 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083880 -  ..
083881 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083884 -  ..
083885 - Summary...  today, hiked  4 miles - temperature 67 and very windy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083886 - Starting PL 0, took 1 Naproxen 500 mg to start.  Was bloated and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083887 - uncomfortable, which gradually improved as hike continued.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083888 - Wells Fargo to get money for crew cleaning house today.  Feet held up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083889 - better wearing Brooks Ghost shoes 2016 model.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083892 -         ..
083893 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083894 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083895 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
083896 -        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                                                                                                                                                                                                                                                                                                                                                                                         
083897 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083898 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083899 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083900 -        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                                                                                                                                                                                                                                                                                                                           
083901 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083902 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083903 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083904 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083905 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
083906 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083907 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
083908 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083909 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
083910 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083911 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083912 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083913 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083914 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
083915 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083916 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083917 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083918 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083919 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
083920 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083921 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083922 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083923 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083924 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083925 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083926 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083927 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083928 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083929 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083930 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083931 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083932 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083933 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
083934 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083935 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083936 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
083937 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
083938 -        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                                                                                                                                                                                                                                                                                                                           
083939 -        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                                                                                                                                                                                                                                                                                                                                                                                    
083940 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083941 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
083942 -        Callus big toe left foot...PRP 210705........   0        100  Increased from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                           
083943 -        Callus big toe right foot...PRP 210705.......   0        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083944 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083945 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
083946 -        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                                                                                                                                                                                                                                                                                                                                           
083947 -        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                                                                                                                                                                                                                                                                                                                                           
083948 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083949 -  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                                                                                                                                                                                                                                                                                                                                                                                      
083950 -        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                                                                                                                                                                                                                                                                                                                                                                                        
083951 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
083952 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
083953 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083954 -        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                                                                                                                                                                                                                                                                                                                                                              
083955 -  new   Callus little toe #5 left foot...PRP 210705..   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                                                                                                                                                                                                                                                                                                                                                                                      
083956 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
083957 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083958 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083959 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
083960 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083961 -        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                                                                                                                                                                                                                                                                                          
083962 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
083963 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083964 -        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                                                                                                                                                                                                                                                                                                                                                                               
083965 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083966 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083967 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083968 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083969 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083970 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083971 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083972 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
083973 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083974 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083978 -  ..
083979 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  wore Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083980 - Ghost size 10.5 width 4E extra-wide, purchased in 2016, but worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083981 - infrequently.  There was noticably less lateral pressure and pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083982 - #1s and #5s compared to Hoka Bondi 9 width 4E, and as good or better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083983 - than testing shoes width 6E, reported on 200101 0701. ref SDS 21 KGE9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083985 -  ..
083986 - Callus Injuries - today on 260711 did not bandage left foot #1 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083987 - white tape, and did apply Sport Shield.  Worked well.  Feet hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083988 - minimally entire hike, because forefoot cover of Brooks Ghost shoes is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083989 - a flexible, polyvinyl web material that is cinched with laces to cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083990 - minumal lateral pressure on edges of forefeet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083992 -  ..
083993 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083994 - ply Wrightsock socks.  Felt pressure during hike on right foot #3, 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083995 - and 5; after hike noticible inflammation on these areas.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083999 -  ..
084000 - Concord 4 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084001 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084002 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084003 - and also left hip, which was PL 4 days ago, but calmed down.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084004 - Naproxen 500 mg for pain management - there is no metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084005 - today, in feet starting hike, and both feet #1 and #5 calluses both PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084006 - 0 - were shaved down on 260702 0830. ref SDS C4 5H6F  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084007 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084008 - inflammation, so allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084009 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084010 - ref SDS 21 QP6L - Swallowed pills whole combined with small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084011 - avocado for HDL, mayonaise, peanut butter and margarine - pills slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084012 - through LESV swallowed with food.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084013 - liquic Turmeric Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 7ZNX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084014 - CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084015 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084016 - 200101 0701. ref SDS 21 136K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084017 - starting hike from ischemic colitis caused by taking statins and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084018 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084019 - (arrhythmia - variable heart rate) see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084020 - ref SDS 21 O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084021 - conditioning for Half Dome - because extra weight increases pressures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084022 - on feet injuries.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084023 - Starting hike feet feeling swelled and like pins and needles - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084024 - feel electrical shocks in balls of feet this morning due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084025 - neuropathy caused by statins, diabetes, and dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084026 - Actually, these afflictions seem quiet the past week or so.  Bottom of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084027 - both feet minor metatarsalgia pain - significant ( >5 ) pain both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084028 - #1 and #5, have been severely painful when hiking that required                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084029 - missing most days hiking for injuries to heal past 30 days.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084030 - through nose entire hike with no dyspnea, indicating condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084031 - sustained, despite minimal hiking last few months.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084032 - started at 70, and reached 80.  East wind 20 mph and mostly 15 mph,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084033 - which was cooling.  Hiked East on Treat 1 mile, then past Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084034 - Road for 1 mile.  Turned from Treat right onto Clayton Road heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084035 - South 1 mile.  Stopped at Wells Fargo bank at Thornwood Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084036 - Withdrew money from ATM for crew cleaning the house.  Hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084037 - Ended hike mile 04 time 1141 temp 67, wind 16, bloating PL 1, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084038 - metatarsalgia PL 0, left foot #1 edge PL 0, #5 edge PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084039 - #1 PL 0, #5 PL -, burning sensation PL 0.  EKG shows variable HR with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084040 - no artifact, Kardia reported HR 084 Possible Atrial Fibrillation - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084041 - below. ref SDS 0 ZJXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084052 -  ..
084053 - Kardia recorded HR 048 at 0851, Possible Atrial Fibrilation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084054 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084055 - likely no AFL after hiking 19 miles temp 80 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084056 - ref SDS 0 VKXV, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084057 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084058 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084059 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084060 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084063 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084064 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260707-ecg-085136_mile_00_048_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084069 -  ..
084070 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084071 - California, hike  4 miles with max temperature 67, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084072 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084075 - ..
084076 -                                                                                                                                                                                                                                                                                                              x
084077 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084078 -                                                 x      1      z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084079 -                     x      x                           1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084080 -       Date          260707 260706 260705 260704 260703 260702 260701 ------ 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  
084081 -       Miles             4     19      0      0      0     13     21            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  
084082 -       HR AVG          105    118     no     no     no    116    121           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  
084083 -         MAX           119    147   report report report  141    152           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  
084084 -         Min            70     82                          81     64            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         
084085 -       El Climb Ft     115    604                         226    562           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         
084086 -       Temp Max         76     80                          58     80            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         
084087 -       Wind Max         20     15                          17     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         
084088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084090 -              https://flow.polar.com/training/analysis/8374475944                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084092 -               ..
084094 -   
084095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084098 -  ..
084099 - End hike EKG at mile 04, time 1141 HR 118 temp 67 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084100 - Possible Atrial Fibirllation... looks mostly variable with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084101 - - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084104 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084105 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260707-ecg-114137_mile_04_084_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084111 -  ..
084112 - Post hike HR profile beginning 2047, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084113 - hiking  4 miles with temperature 67, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084114 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084115 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084116 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084117 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084120 -        ..
084121 -       Date      260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
084122 -       Time       2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
084123 -       Hours        11      10      10      11      12      11       6      10      11      11               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     
084124 -       HR AVG       64      63      65      60      69      66      64      62      70      56              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     
084125 -       HR MAX      111     126     125     115     118     120     101     131     107      97             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     
084126 -       HR Min       38      40      36      38      39      39      41      37      39      36              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     
084127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084132 -              https://flow.polar.com/training/analysis/8374980319                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084134 -  ..
084135 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084139 -   
084140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084142 -  ..
084143 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084144 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084145 - Dinner - steak potato onion brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084147 -  ..
084148 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084175 -         ..
084176 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084177 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084178 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084179 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084180 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084181 -  132.  260708 0713............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084182 -               0713....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084183 -               0713....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
084184 -               0715....BP HR..................................................... 177  77  45  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084185 -               0720....BP HR..................................................... 151  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084186 -               0725....BP HR..................................................... 163  67  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084187 -               0730....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084188 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084189 -               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                                                                                                                                                                                                                                                                                  
084190 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084191 -               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                                                                                                                                                                                                                                                                                                                                                                                   
084192 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084193 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084194 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084195 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084196 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084197 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084198 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084203 -  ..
084204 - Kardia EKG not recorded today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084210 -  ..
084211 - Post hike HR profile beginning 2009, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084212 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084213 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084214 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084215 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084216 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084219 -        ..
084220 -       Date      260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
084221 -       Time       2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
084222 -       Hours        11      11      10      10      11      12      11       6      10      11      11               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     
084223 -       HR AVG       57      64      63      65      60      69      66      64      62      70      56              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     
084224 -       HR MAX      112     111     126     125     115     118     120     101     131     107      97             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     
084225 -       HR Min       38      38      40      36      38      39      39      41      37      39      36              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     
084226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084231 -              https://flow.polar.com/training/analysis/8375629498                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084233 -  ..
084234 - HRV seems  10% 0 and  20% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084238 -   
084239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084241 -  ..
084242 - Breakfast - cheerios banana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084243 - Lunch - sandwich roast beef pickle onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084244 - Dinner - steak potato onion brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084246 -  ..
084247 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084275 -         ..
084276 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084277 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084278 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084279 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084280 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084281 -  132.  260709 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084282 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084283 -               0710....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
084284 -               0715....BP HR..................................................... 163  73  52  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084285 -               0720....BP HR..................................................... 160  69  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084286 -               0725....BP HR..................................................... 155  65  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084287 -               0730....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084288 -               0730....Magnesium 300 mg 2 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084289 -               0730....Turmeric Curcumin 2250 mg took 1 pill  loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
084290 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084291 -               0730....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084292 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084293 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084294 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084295 -               0000....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084296 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084297 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
084298 -               0000...
084299 -  ..
084300 -               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                                                                                                                                                                                                                                                                                  
084301 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084302 -               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                                                                                                                                                                                                                                                                                                                                                                                   
084303 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084304 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084305 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084306 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084307 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084308 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084309 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084316 -  ..
084317 - Kardia recorded HR 048 at 0849, Possible Atrial Fibrilation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084318 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084319 - likely no AFL after hiking  0 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084320 - ref SDS 0 DM7I, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084321 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084322 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084323 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084324 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084327 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084328 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260709-ecg-084902_mile_00_048_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084332 -  ..
084333 - Post hike HR profile beginning 0007, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084334 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084335 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084336 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084337 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084338 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084341 -        ..
084342 -       Date      260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
084343 -       Time       0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
084344 -       Hours         8      11      11      10      10      11      12      11       6      10      11      11               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     
084345 -       HR AVG       52      57      64      63      65      60      69      66      64      62      70      56              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     
084346 -       HR MAX      105     112     111     126     125     115     118     120     101     131     107      97             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     
084347 -       HR Min       35      38      38      40      36      38      39      39      41      37      39      36              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     
084348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084353 -              https://flow.polar.com/training/analysis/8376323607                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084355 -  ..
084356 - HRV seems   0% 0 and  30% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084360 -   
084361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084363 -  ..
084364 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084365 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084366 - Dinner - steak macaroni cheese onion brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084368 -  ..
084369 - Vomiting: 20% dinner - bloating PL 1 seems to getting better in mornings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084399 -         ..
084400 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084401 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084402 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084403 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084404 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084405 -  132.  260710 0712............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084406 -               0712....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084407 -               0712....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
084408 -               0715....BP HR..................................................... 152  74  55  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084409 -               0720....BP HR..................................................... 172  71  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084410 -               0725....BP HR..................................................... 177  92  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084411 -               0730....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084412 -               0730....Magnesium 300 mg 2 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084413 -               0730....Turmeric Curcumin 2250 mg took 1 pill  loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
084414 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084415 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084416 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084417 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084418 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084419 -               0000....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084420 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084421 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
084422 -               0000...
084423 -  ..
084424 -               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                                                                                                                                                                                                                                                                                  
084425 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084426 -               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                                                                                                                                                                                                                                                                                                                                                                                   
084427 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084428 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084429 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084430 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084431 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084432 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084433 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084439 -  ..
084440 - Kardia recorded HR 050 at 0933, Possible Atrial Fibrilation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084441 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084442 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084443 - ref SDS 0 XM9U, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084444 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084445 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084446 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084447 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084450 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084451 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260710-ecg-092200_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084455 -  ..
084456 - Post hike HR profile beginning 1940, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084457 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084458 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084459 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084460 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084461 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084464 -        ..
084465 -       Date      260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
084466 -       Time       1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
084467 -       Hours        11       8      11      11      10      10      11      12      11       6      10      11      11               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     
084468 -       HR AVG       63      52      57      64      63      65      60      69      66      64      62      70      56              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     
084469 -       HR MAX      101     105     112     111     126     125     115     118     120     101     131     107      97             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     
084470 -       HR Min       37      35      38      38      40      36      38      39      39      41      37      39      36              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     
084471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084476 -              https://flow.polar.com/training/analysis/8376903699                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084478 -  ..
084479 - HRV seems  20% 0 and  15% good and  65% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084483 -   
084484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084486 -  ..
084487 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084488 - Lunch - chips cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084489 - Dinner - steak potato onion asperagus brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084491 -  ..
084492 - Vomiting: 0% dinner - bloating PL 1 seems to be getting better in mornings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084524 -         ..
084525 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084526 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084527 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084528 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084529 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084530 -  132.  260711 0631............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084531 -               0631....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084532 -               0635....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
084533 -               0640....BP HR..................................................... 136  79  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084534 -               0645....BP HR..................................................... 153  79  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084535 -               0650....BP HR..................................................... 142  68  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084536 -               0700....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084537 -               1015....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084538 -               1015....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
084539 -               1015... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084540 -               1015....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084541 -               1015....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084542 -               1015....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084543 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084544 -               1050....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084545 -               1050... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084546 -               1050....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
084547 -               0000...
084548 -  ..
084549 - started Polar 1100....miles...........  13.0  36.0  223   612 minutes  temp  91 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084550 - 20 min late   0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084551 - added 20 min  0000....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084552 -               0000....oxycodone 5 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084553 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084554 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084555 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
084556 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084557 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084558 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084559 -               0000... Hike ends mile 04... ref SDS 0 ZJXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084560 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084561 -               0000....weight.................................... 181  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084562 -               0000....BP HR..................................................... 107  74 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084563 -               0000....BP HR.....................................................  93  62  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084564 -               0000....BP HR.....................................................  96  68  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084565 -               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                                                                                                                                                                                                                                                                                  
084566 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084567 -               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                                                                                                                                                                                                                                                                                                                                                                                   
084568 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084569 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084570 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084571 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084572 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084573 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084574 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084577 -  ..
084578 -  ..
084579 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084580 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084582 -  ..
084583 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084584 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084585 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084586 - chair.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084588 -  ..
084589 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084590 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084592 -  ..
084593 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084596 -  ..
084597 - Summary... hiked 13 miles testing Brooks Ghost shoes again - there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084598 - less pressure and pain as occurred with the 4-mile hike on 260708, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084599 - above. ref SDS 0 8WPC  About mile 9, noticed PL 2 top of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084600 - #3, 4 and 5 - showed slight inflammation after hike.  May need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084601 - different socks tomorrow.  This did not occur on left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084602 - Temperature 91 with breeze that made heat less difficult to tolerate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084603 - Took 1 Naproxen 500 mg capsule before starting hike.  Feet were near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084604 - PL 0 at mile 6; yet, took 2nd Naproxen 500 mg.  Still near PL 0 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084605 - end.  Was bloated and uncomfortable, which gradually improved as hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084606 - continued.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084609 -         ..
084610 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084611 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084612 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
084613 -        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                                                                                                                                                                                                                                                                                                                                                                                         
084614 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084615 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084616 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084617 -        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                                                                                                                                                                                                                                                                                                                           
084618 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084619 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084620 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084621 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084622 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
084623 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084624 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
084625 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084626 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
084627 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084628 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084629 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084630 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084631 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
084632 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084633 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084634 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084635 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084636 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
084637 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084638 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084639 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084640 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084641 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084642 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084643 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084644 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084645 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084646 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084647 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084648 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084649 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084650 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
084651 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084652 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084653 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
084654 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
084655 -        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                                                                                                                                                                                                                                                                                                                           
084656 -        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                                                                                                                                                                                                                                                                                                                                                                                    
084657 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084658 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
084659 -        Callus big toe left foot...PRP 210705........   0        100  Increased from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                           
084660 -        Callus big toe right foot...PRP 210705.......   0        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084661 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084662 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
084663 -        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                                                                                                                                                                                                                                                                                                                                           
084664 -        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                                                                                                                                                                                                                                                                                                                                           
084665 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084666 -  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                                                                                                                                                                                                                                                                                                                                                                                      
084667 -        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                                                                                                                                                                                                                                                                                                                                                                                        
084668 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
084669 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
084670 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084671 -        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                                                                                                                                                                                                                                                                                                                                                              
084672 -  new   Callus little toe #5 left foot...PRP 210705..   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                                                                                                                                                                                                                                                                                                                                                                                      
084673 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
084674 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084675 -        Blister top foot at toe line right foot......   3         20  toes #3, 4 5 pain beginning about mile 9, slight inflammation top of toes after hike - maybe socks??                                                                                                                                                                                                                                                                                                                                                                                                                                         
084676 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
084677 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084678 -        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                                                                                                                                                                                                                                                                                          
084679 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
084680 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084681 -        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                                                                                                                                                                                                                                                                                                                                                                               
084682 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084683 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084684 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084685 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084686 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084687 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084688 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084689 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
084690 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084691 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084695 -  ..
084696 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today, wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084697 - Brooks Ghost size 10.5 width 2E, purchased on 161103 1410. ref SDS 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084698 - 3D5L  These shoes have a polyvinyl forefoot cover with woven gaps that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084699 - provide elastic ?give? to control lateral pressure and pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084700 - forefeet by loosely tightening the first three eyelets.  Today, this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084701 - design again produced less pain at edges of metatarsals #1 and #5, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084702 - occurred hiking 4 miles 3 days ago on 260708, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084703 - 8KRJ Research with Microsoft AI - Copilot found some current shoes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084704 - try for similar or better protection than Brooks Ghost, as found today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084705 - on an extended hike, reported on 260707 1453. ref SDS C5 864T  Goal is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084706 - comparable or better lateral pressure and with increased sole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084707 - thickness for reduced vertical pressure on bottom of feet to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084708 - metatarsalgia and plantar fasciitis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084710 -  ..
084711 - Callus Injuries - today on 260707 did not bandage left foot #1 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084712 - white tape, and did not apply Sport Shield.  Worked well.  Feet hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084713 - minimally entire hike, because forefoot cover of Brooks Ghost shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084714 - is a flexible, polyvinyl web material that is cinched with laces to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084715 - cause minumal lateral pressure on edges of forefeet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084717 -  ..
084718 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084719 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084723 -  ..
084724 - Concord 13 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084725 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084726 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084727 - and also left hip, which was PL 4 week-10-days ago, but not since.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084728 - Took 1 Naproxen 500 mg for pain management - there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084729 - pain today, in feet starting the hike, and both feet #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084730 - calluses both PL 0 - were shaved down by Doctor Tang in VAMC Podiatry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084731 - last week on 260702 0830. ref SDS C4 5H6F  Took Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084732 - mg pill for energy, absorbing lactic acid, and reducing inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084733 - that enables HDL to increase, and together with EPCs regress plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084734 - blood vessels - see research on 200101 0701, ref SDS 21 QP6L  Also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084735 - took CoQ10 capsules for energy, and took Turmeric Curcumin 2250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084736 - pills that resolve inflammation for HDL to rise.  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084737 - separately and whole combined with small amount avocado, mayonaise,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084738 - peanut butter and margarine - pills slip through LESV swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084739 - combined with food in mouth.  About 20 minutes later after dressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084740 - for hike, before starting hike took liquid Turmeric Curcumin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084741 - Ubiquinol CoQ10 per above. ref SDS 0 VKXV  CoQ10 is an enzyme produced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084742 - in the body that supports an electron transport chain (ETC) giving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084743 - human cells energy - see case study on 200101 0701. ref SDS 21 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084744 - No breakfast reduces bloating feeling starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084745 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084746 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084747 - rate) see case study on 200101 0701. ref SDS 21 O33H  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084748 - backpack to carry stuff - good to build conditioning for Half Dome -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084749 - because extra weight increases pressure on feet injuries.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084750 - hike the mile loop around the block to start hike, which identifies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084751 - bloating and feet wound issues that can be treated back at the house                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084752 - before issues arise miles from home.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084753 - left, onto Treat.  Starting hike feet feeling less swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084754 - pins and needles - did not feel electrical shocks in balls of feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084755 - this morning due to peripheral neuropathy caused by statins, diabetes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084756 - and dysfunctional ANS.  Actually, these afflictions seem quiet the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084757 - past week or so.  Bottom of both feet minor metatarsalgia pain -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084758 - significant pain ( >5 ) both feet #1 and #5 has caused pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084759 - for injuries to heal past 30 days, see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084760 - ref SDS 21 BGZV  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084761 - indicating condition has sustained, despite minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084762 - months.  Temperature started at 80, and reached 91.  East wind 12 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084763 - and mostly 8 mph, which was cooling.  Continued East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084764 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084765 - Road for 1.5 miles mostly flat grade, some places 3% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084766 - light traffic.  After turning onto Turtle Creek Road noticed forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084767 - start Polar GPS/HR monitor, so lanuched the Polar system, making it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084768 - about 20 minutes short for time of hike.  Hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084769 - Community park and back today.  Gate was closed to vehicles, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084770 - access allowed to foot traffic.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084771 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084772 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084773 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084774 - of shopping complex.  Did not stop at Lucky store to buy banana with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084775 - potassium that complements meds for energy, and makes swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084776 - easier, because brought banana from house today.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084777 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084778 - good - did not need to stop at mile 4 time ____ in Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084779 - Pizza restaurant to take meds for energy to hike.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084780 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084781 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084782 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084783 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084784 - at Michigan Boulevard.  Stopped at Chevron gas station store mile 06                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084785 - time 1241 temp 84 and wind 09 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084786 - Kardia reported HR 107 Tachycardia, - see below. ref SDS 0 JRPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084787 - Bloating PL 3, both feet metatarsalgia PL 0.  Left foot #1 PL 0 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084788 - PL 2.  Right foot #5 PL 3; top of #3, #4, #5 PL 3 feels like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084789 - blistering.  Took 1 Naproxen 500 mg total today 2 for pain.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084790 - Magnesium complex 300 mg pill for energy, absorbing lactic acid, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084791 - research on 200101 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084792 - 2250 mg to reduce inflammation.  Took 2 CoQ10 to increase energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084793 - Sips softdrink purchased from Chev store for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084794 - nutrition - banana brought from home - enables swallowing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084795 - pills combined with bites of banana to slip through LESV now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084796 - contracted due to achalasia, pending dilation procedure scheduled on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084797 - 260821.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084798 - hike.  Did not take Nuun electrolyte pill.  Continued hike on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084799 - Hollow 1.5 miles East.  At Pennsylvania Boulevard turned around hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084800 - back to Ygnacio Valley Road.  Turned left onto Campus Drive hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084801 - mile West uphill 3% grade against wind 15 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084802 - Turned left heading West on Ygnacio Valley road .50 mile.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084803 - past Crystal Ranch Road, heading West on Ygnacio Valley road 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084804 - uphill 3% grade against wind 12 mph.  At summit turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084805 - hiked .5 mile back to Cowell.  Turned left going 1 mile downhill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084806 - Turned left on Treat for .25 mile; turned right on Cunio and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084807 - Ended hike mile 13 time 1456 temp 91, wind 12, bloating PL 4, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084808 - deficit 0, feet metatarsalgia PL 2, left foot #1 edge PL 0, #5 edge PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084809 - 2, right foot #1 PL 0, #5 PL 2, top #3, 4, 5 blistering PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084810 - sensation PL 0.  EKG sinus with considerable artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084811 - HR 125 Tachycardia - see below. ref SDS 0 OGXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084823 -  ..
084824 - Kardia recorded HR 047 at 0815, Possible Atrial Fibrilation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084825 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084826 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084827 - ref SDS 0 XM9U, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084828 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084829 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084830 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084831 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084834 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084835 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260711-ecg-081520_mile_00_047_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084840 -  ..
084841 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084842 - California, hike 13 miles with max temperature 91, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084843 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084845 - ..
084846 -                                                                                                                                                                                                                                                                                                              x
084847 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084848 -                                          x      x      1      z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084849 -                     x      x             x             1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084850 -       Date          260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25030  
084851 -       Miles            13      0      0      0      4     19      0      0      0     13     21            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  
084852 -       HR AVG          118     no     no     no    105    118     no     no     no    116    121           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  
084853 -         MAX           137   report report report  119    147   report report report  141    152           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   repo  
084854 -         Min            91                          70     82                          81     64            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         
084855 -       El Climb Ft     395                         115    604                         226    562           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         
084856 -       Temp Max         91                          76     80                          58     80            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         
084857 -       Wind Max         12                          20     15                          17     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         
084858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084860 -              https://flow.polar.com/training/analysis/8377144540                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084862 -               ..
084864 -   
084865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084868 -  ..
084869 - EKG at mile 06 time 1241, HR 107 temp 84, wind 09; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084870 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084871 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084874 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084875 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260711-ecg-124127_mile_06_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084879 -  ..
084880 - End hike EKG at mile 13, time 1456 HR 125 temp 91, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084881 - reported Tachycardia... looks mostly uniform with considerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084882 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084885 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084886 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260711-ecg-145602_mile_13_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084892 -  ..
084893 - Post hike HR profile beginning 2050, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084894 - hiking 13 miles with temperature 91, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084895 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084896 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084897 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084898 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084901 -        ..
084902 -       Date      260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
084903 -       Time       2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
084904 -       Hours        11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
084905 -       HR AVG       62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
084906 -       HR MAX      122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
084907 -       HR Min       39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
084908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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084912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084913 -              https://flow.polar.com/training/analysis/8377542746                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084915 -  ..
084916 - HRV seems  10% 0 and  50% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084920 -   
084921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084923 -  ..
084924 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084925 - Lunch - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084926 - Dinner - steak potato onion asperagus brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084928 -  ..
084929 - Vomiting: 0% dinner - bloating PL 2 seems to be getting better in mornings,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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084954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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084956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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084959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084962 -         ..
084963 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084964 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084965 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084966 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084967 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084968 -  132.  260712 0705............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084969 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084970 -               0705....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
084971 -               0705....BP HR..................................................... 154  76  49  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084972 -               0710....BP HR..................................................... 161  77  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084973 -               0715....BP HR..................................................... 165  94  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084974 -               0715....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084975 -               0840....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084976 -               0845....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
084977 -               0845... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084978 -               0845....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084979 -               0845....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084980 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084981 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084982 -               0920....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084983 -               0920... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084984 -               0920....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
084985 -               0000...
084986 -  ..
084987 -               0927....miles...........  18.0  65.0  290   902 minutes  temp  91 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084988 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084989 -               0000....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084990 -               0000....oxycodone 5 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084991 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084992 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084993 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
084994 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084995 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084996 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084997 -               1504... Hike ends mile 18... ref SDS 0 ZPUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084998 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084999 -               1510....weight.................................... 181  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085000 -               1536....BP HR..................................................... 120  74 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085001 -               1554....BP HR..................................................... 132  76  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085002 -               1602....BP HR..................................................... 125  74  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085003 -               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                                                                                                                                                                                                                                                                                  
085004 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085005 -               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                                                                                                                                                                                                                                                                                                                                                                                   
085006 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085007 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085008 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085009 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085010 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085011 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085012 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085015 -  ..
085016 -  ..
085017 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085018 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085020 -  ..
085021 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085022 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085023 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085024 - chair.  Restless legs has not occurred for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085026 -  ..
085027 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085028 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085030 -  ..
085031 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085034 -  ..
085035 - Summary... hiked 18 miles testing Brooks Ghost shoes again - there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085036 - less pressure and pain as occurred with the 13-mile test yesterday on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085037 - 260711, per above. ref SDS 0 LPER  About mile 4, noticed PL 2 top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085038 - right foot #3, 4 and 5 - showed slight inflammation after hike.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085039 - need different socks tomorrow.  This did not occur on left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085042 -         ..
085043 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085044 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085045 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
085046 -        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                                                                                                                                                                                                                                                                                                                                                                                         
085047 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085048 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085049 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085050 -        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                                                                                                                                                                                                                                                                                                                           
085051 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085052 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085053 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085054 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085055 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
085056 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085057 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
085058 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085059 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
085060 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085061 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085062 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085063 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085064 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
085065 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085066 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085067 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085068 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085069 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
085070 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085071 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085072 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085073 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085074 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085075 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085076 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085077 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085078 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085079 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085080 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085081 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085082 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085083 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
085084 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085085 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085086 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
085087 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
085088 -        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                                                                                                                                                                                                                                                                                                                           
085089 -        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                                                                                                                                                                                                                                                                                                                                                                                    
085090 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085091 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
085092 -        Callus big toe left foot...PRP 210705........   0        100  Increased from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                           
085093 -        Callus big toe right foot...PRP 210705.......   0        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085094 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085095 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
085096 -        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                                                                                                                                                                                                                                                                                                                                           
085097 -        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                                                                                                                                                                                                                                                                                                                                           
085098 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085099 -  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                                                                                                                                                                                                                                                                                                                                                                                      
085100 -        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                                                                                                                                                                                                                                                                                                                                                                                        
085101 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
085102 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
085103 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085104 -        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                                                                                                                                                                                                                                                                                                                                                              
085105 -  new   Callus little toe #5 left foot...PRP 210705..   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                                                                                                                                                                                                                                                                                                                                                                                      
085106 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
085107 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085108 -        Blister top foot at toe line right foot......   3         60  toes #3, 4 5 pain beginning about mile 9, slight inflammation top of toes after hike - maybe socks??                                                                                                                                                                                                                                                                                                                                                                                                                                         
085109 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
085110 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085111 -        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                                                                                                                                                                                                                                                                                          
085112 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
085113 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085114 -        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                                                                                                                                                                                                                                                                                                                                                                               
085115 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085116 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085117 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085118 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085119 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085120 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085121 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085122 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
085123 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085124 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085128 -  ..
085129 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today, wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085130 - Brooks Ghost size 10.5 width 2E, purchased on 161103 1410. ref SDS 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085131 - 3D5L  These shoes have a polyvinyl forefoot cover with woven gaps that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085132 - provide elastic ?give? to control lateral pressure and pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085133 - forefeet by loosely tightening the first three eyelets.  Today, this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085134 - design again produced less pain at metatarsals #1 and #5, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085135 - hiking 4 miles 3 days ago on 260708, per above. ref SDS 0 8KRJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085136 - After hike discovered wore size 11 not size 10.5.  Thought may have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085137 - worn size size 10.5 on right foot, which would account for increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085138 - pressure on top of toes 345.  However size is smudged out on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085139 - shoe.  Tomorrow will wear both shoes size 11.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085141 -  ..
085142 - Callus Injuries - today on 260707 did not bandage left foot #1 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085143 - white tape, and did not apply Sport Shield.  Worked well.  Feet hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085144 - minimally entire hike, because forefoot cover of Brooks Ghost shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085145 - is a flexible, polyvinyl web material that is cinched with laces to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085146 - cause minumal lateral pressure on edges of forefeet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085148 -  ..
085149 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085150 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085154 -  ..
085155 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085156 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085157 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085158 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085159 - weeks.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085160 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085161 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085162 - Podiatry on 260702 0830. ref SDS C4 5H6F  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085163 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085164 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085165 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085166 - ref SDS 21 QP6L  Also took 2 CoQ10 capsules for energy, and took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085167 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085168 - rise.  Swallowed pills separately and whole combined with small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085169 - avocado, mayonaise, peanut butter and margarine - pills slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085170 - LESV much better when swallowed combined with food in mouth.  About 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085171 - minutes later after dressing for hike, before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085172 - liquid Turmeric Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 8FEV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085173 - CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085174 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085175 - 200101 0701. ref SDS 21 136K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085176 - starting hike from ischemic colitis caused by taking statins and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085177 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085178 - (arrhythmia - variable heart rate) see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085179 - ref SDS 21 O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085180 - conditioning for Half Dome - because extra weight increases pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085181 - on feet injuries.  Did not hike the mile loop around the block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085182 - start hike, which identifies bloating and feet wound issues that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085183 - be treated back at the house before issues arise miles from home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085184 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085185 - feeling less swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085186 - electrical shocks in balls of feet this morning due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085187 - neuropathy caused by statins, diabetes, and dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085188 - Actually, these afflictions seem quiet the past week or so.  Bottom of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085189 - both feet minor metatarsalgia pain - significant pain ( >5 ) both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085190 - #1 and #5 has caused pausing hiking for injuries to heal past 30 days,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085191 - see case study on 200101 0701. ref SDS 21 BGZV  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085192 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085193 - despite minimal hiking last few months.  Temperature started at 70,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085194 - and reached 91.  East wind 12 mph and mostly 8 mph, which was cooling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085195 - Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085196 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085197 - some places 3% uphill, and very light traffic.  Hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085198 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085199 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085200 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085201 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085202 - of shopping complex.  Did not stop at Lucky store to buy banana with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085203 - potassium that complements meds for energy, and makes swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085204 - easier, because brought banana from house today.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085205 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085206 - good - did not need to stop at mile 4 time ____ in Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085207 - Pizza restaurant to take meds for energy to hike.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085208 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085209 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085210 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085211 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085212 - at Michigan Boulevard.  Hiked another .25 miles to Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085213 - and store.  At mile 6, turned left onto Pine Hollow.  Hiked East 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085214 - mile and turned around at Rolling Woods Way.  Hiked back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085215 - Valley Road.  Stopped at Chevron gas station store mile 08 time 1133                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085216 - temp 77 and wind 03 mph; EKG looks uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085217 - Kardia reported HR 107 Tachycardia, - see below. ref SDS 0 UE2L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085218 - Bloating PL 3, both feet metatarsalgia PL 2.  Left foot #1 PL 0 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085219 - PL 0.  Right foot #5 PL 0; top of #3, #4, #5 PL 3 feels like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085220 - blistering - actually feels like right shoe is tighter on foot than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085221 - left shoe on left foot.  Took 1 Naproxen 500 mg total today 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085222 - pain.  Took 4 Magnesium complex 300 mg pills - total today 8 - for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085223 - energy, absorbing lactic acid, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085224 - ref SDS 21 QP6L  Took 2 Turmeric Curcumin 2250 mg - total today 4 - to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085225 - reduce inflammation.  Took 2 CoQ10 pills - total today 4 - to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085226 - energy.  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085227 - swallowing nutrition - banana brought from home - enables swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085228 - medication pills combined with bites of banana to slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085229 - now contracted due to achalasia, pending dilation procedure scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085230 - on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085231 - continue hike.  Did not take Nuun electrolyte pill.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085232 - Pine Hollow 1.25 miles East.  Near Camino Salano turned around hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085233 - back to Ygnacio Valley Road.  Turned left onto Campus Drive hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085234 - mile West uphill 3% grade against wind 08 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085235 - Turned left heading West on Ygnacio Valley road .50 mile.  At Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085236 - Ranch Road, turned around and hiked back.  Turned onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085237 - again and hiked uphill 4% grade .5 mile.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085238 - California State University East Bay Concord Campus - mile 12.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085239 - 4 loops around main buildings - used exercise equipment at back of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085240 - buildings to do 20 partial pullups and pushups each pass.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085241 - Visitor Parking mile 14, left the college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085242 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085243 - flat grade .5 miles.  At mile 15, hiked past Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085244 - heading West on Ygnacio Valley road 1 mile uphill 3% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085245 - wind 12 mph - temp 91.  At summit turned around and hiked .5 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085246 - to Cowell.  Turned left going 1 mile downhill.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085247 - for .25 mile; turned right on Cunio and home.  Ended hike mile 18 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085248 - 1504 temp 91, wind 12, bloating PL 3, energy deficit 1, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085249 - metatarsalgia PL 3, left foot #1 edge PL 2, #5 edge PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085250 - #1 PL 0, #5 PL 2, top #3, 4, 5 blistering PL 3, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085251 - 0.  EKG sinus with considerable artifact, Kardia reported HR 128                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085252 - Tachycardia - see below. ref SDS 0 ZPUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085264 -  ..
085265 - Kardia recorded HR 049 at 0823, Possible Atrial Fibrilation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085266 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085267 - likely no AFL after hiking 13 miles temp 92 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085268 - ref SDS 0 ESCM, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085269 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085270 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085271 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085272 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085275 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085276 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260712-ecg-082352_mile_00_049_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085281 -  ..
085282 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085283 - California, hike 18 miles with max temperature 91, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085284 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085286 - ..
085287 -                                                                                                                                                                                                                                                                                                              x
085288 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085289 -                                          x      x      1      z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085290 -                     x      x             x             1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085291 -       Date          260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25030  
085292 -       Miles            18     13      0      0      0      4     19      0      0      0     13     21            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  
085293 -       HR AVG          115    118     no     no     no    105    118     no     no     no    116    121           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  
085294 -         MAX           140    137   report report report  119    147   report report report  141    152           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  
085295 -         Min            70     91                          70     82                          81     64            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  
085296 -       El Climb Ft     540    395                         115    604                         226    562           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  
085297 -       Temp Max         91     91                          76     80                          58     80            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  
085298 -       Wind Max         12     12                          20     15                          17     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  
085299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085302 -              https://flow.polar.com/training/analysis/8377784063                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085305 -               ..
085307 -   
085308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085313 -  ..
085314 - EKG at mile 08 time 1133, HR 107 temp 77, wind 03; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085315 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085316 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085319 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085320 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260712-ecg-113352_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085324 -  ..
085325 - End hike EKG at mile 18, time 1504 HR 128 temp 91, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085326 - reported Tachycardia... looks sinus mostly uniform with considerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085327 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085330 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085331 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260712-ecg-150411_mile_18_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085337 -  ..
085338 - Post hike HR profile beginning 2214, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085339 - hiking 13 miles with temperature 91, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085340 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085341 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085342 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085343 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085346 -        ..
085347 -       Date      260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
085348 -       Time       2050    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
085349 -       Hours        11      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
085350 -       HR AVG       62      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
085351 -       HR MAX      122     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
085352 -       HR Min       39      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
085353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085358 -              https://flow.polar.com/training/analysis/8378162859                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085360 -  ..
085361 - HRV seems  20% 0 and  50% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085365 -   
085366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085368 -  ..
085369 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085370 - Lunch - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085371 - Dinner - steak potato onion asperagus brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085373 -  ..
085374 - Vomiting: 80% dinner - bloating PL 2 seems to be getting better in mornings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085409 -         ..
085410 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085411 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085412 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085413 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085414 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085415 -  132.  260713 0705............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085416 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085417 -               0705....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
085418 -               0705....BP HR..................................................... 164  83  71  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085419 -               0710....BP HR..................................................... 160  78  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085420 -               0715....BP HR..................................................... 153  78  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085421 -               0715....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085422 -               0840....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085423 -               0845....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
085424 -               0845... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085425 -               0845....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085426 -               0845....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085427 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085428 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085429 -               0920....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085430 -               0920... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085431 -               0920....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
085432 -               0000...
085433 -  ..
085434 -               0921....miles...........  18.0  18.0  290  1192 minutes  temp  95 wind  9  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085435 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085436 -               1154....mile 10 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085437 -               1154....Naproxen 5 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085438 -               1154... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085439 -               1154... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085440 -               1154....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
085441 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085442 -               1154... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085443 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085444 -               1500... Hike ends mile 18... ref SDS 0 8Z6E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085445 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085446 -               1510....weight.................................... 181  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085447 -               1515....BP HR..................................................... 118  66  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085448 -               1521....BP HR..................................................... 120  67 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085449 -               1526....BP HR..................................................... 118  76 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085450 -               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                                                                                                                                                                                                                                                                                  
085451 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085452 -               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                                                                                                                                                                                                                                                                                                                                                                                   
085453 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085454 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085455 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085456 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085457 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085458 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085459 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085462 -  ..
085463 -  ..
085464 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085465 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085467 -  ..
085468 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085469 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085470 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085471 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085472 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085474 -  ..
085475 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085476 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085478 -  ..
085479 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085482 -  ..
085483 - Summary... hiked 18 miles testing Brooks Ghost shoes again with both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085484 - left and right shoes size 11 width 2E - there was less pressure and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085485 - pain both feet over entire hike, compared to yesterday, when left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085486 - had minimal pressure pain, and right foot had noticible pressure and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085487 - pain.  Today, hike was easy at good pace with temp steady about 70,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085488 - and heavy cloud cover for 10 miles, then stopped for EKG, meds,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085489 - hydration and nutrition.  In afternoon, cloud cover receded and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085490 - temperature increased to 95.  This caused low energy sapped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085491 - persperation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085495 -         ..
085496 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085497 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085498 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
085499 -        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                                                                                                                                                                                                                                                                                                                                                                                         
085500 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085501 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085502 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085503 -        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                                                                                                                                                                                                                                                                                                                           
085504 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085505 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085506 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085507 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085508 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
085509 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085510 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
085511 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085512 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
085513 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085514 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085515 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085516 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085517 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
085518 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085519 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085520 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085521 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085522 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
085523 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085524 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085525 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085526 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085527 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085528 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085529 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085530 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085531 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085532 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085533 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085534 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085535 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085536 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
085537 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085538 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085539 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
085540 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
085541 -        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                                                                                                                                                                                                                                                                                                                           
085542 -        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                                                                                                                                                                                                                                                                                                                                                                                    
085543 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085544 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
085545 -        Callus big toe left foot...PRP 210705........   0        100  Increased from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                           
085546 -        Callus big toe right foot...PRP 210705.......   0        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085547 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085548 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
085549 -        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                                                                                                                                                                                                                                                                                                                                           
085550 -        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                                                                                                                                                                                                                                                                                                                                           
085551 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085552 -  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                                                                                                                                                                                                                                                                                                                                                                                      
085553 -        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                                                                                                                                                                                                                                                                                                                                                                                        
085554 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
085555 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
085556 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085557 -        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                                                                                                                                                                                                                                                                                                                                                              
085558 -  new   Callus little toe #5 left foot...PRP 210705..   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                                                                                                                                                                                                                                                                                                                                                                                      
085559 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
085560 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085561 -        Blister top foot at toe line right foot......   3         60  toes #3, 4 5 pain beginning about mile 9, slight inflammation top of toes after hike - maybe socks??                                                                                                                                                                                                                                                                                                                                                                                                                                         
085562 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
085563 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085564 -        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                                                                                                                                                                                                                                                                                          
085565 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
085566 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085567 -        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                                                                                                                                                                                                                                                                                                                                                                               
085568 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085569 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085570 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085571 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085572 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085573 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085574 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085575 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
085576 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085577 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085581 -  ..
085582 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today, wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085583 - Brooks Ghost size 11.0 width 2E, purchased on 161103 1410. ref SDS 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085584 - 3D5L  These shoes have a polyvinyl forefoot cover with woven gaps that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085585 - provide elastic ?give? to control lateral pressure and pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085586 - forefeet by loosely tightening the first three eyelets.  Yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085587 - wore left shoe size 11, and right shoe size 10.  Left shoe had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085588 - minimal latteral pressure injury to #1 and #5, and top of 345.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085589 - shoe had greater lateral pressure and injuries.  Today, wore size 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085590 - shoes on both feet, and resulted in minimal trauma and pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085592 -  ..
085593 - Callus Injuries - today on 260707 did not bandage left foot #1 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085594 - white tape, and did not apply Sport Shield.  Worked well.  Feet hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085595 - minimally entire hike, because forefoot cover of Brooks Ghost shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085596 - is a flexible, polyvinyl web material that is cinched with laces to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085597 - cause minumal lateral pressure on edges of forefeet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085599 -  ..
085600 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085601 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085605 -  ..
085606 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085607 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085608 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085609 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085610 - weeks.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085611 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085612 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085613 - Podiatry on 260702 0830. ref SDS C4 5H6F  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085614 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085615 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085616 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085617 - ref SDS 21 QP6L  Also took 2 CoQ10 capsules for energy, and took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085618 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085619 - rise.  Swallowed pills separately and whole combined with small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085620 - avocado, mayonaise, peanut butter and margarine - pills slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085621 - LESV much better when swallowed combined with food in mouth.  About 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085622 - minutes later after dressing for hike, before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085623 - liquid Turmeric Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 SI8W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085624 - CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085625 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085626 - 200101 0701. ref SDS 21 136K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085627 - starting hike from ischemic colitis caused by taking statins and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085628 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085629 - (arrhythmia - variable heart rate) see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085630 - ref SDS 21 O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085631 - conditioning for Half Dome - because extra weight increases pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085632 - on feet injuries.  Hiked mile loop around the block to start hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085633 - which identifies bloating and feet wound issues that can be treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085634 - back at the house before issues arise miles from home.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085635 - .25 mile and turned left, onto Treat.  Starting hike both feet less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085636 - pressure reflecting to wearing size 11 both feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085637 - ref SDS 0 LS4W   Feet feeling less swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085638 - did not feel electrical shocks in balls of feet this morning due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085639 - peripheral neuropathy caused by statins, diabetes, and dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085640 - ANS.  Actually, these afflictions seem quiet the past week or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085641 - Bottom of both feet minor metatarsalgia pain - significant pain ( >5 )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085642 - both feet #1 and #5 has caused pausing hiking for injuries to heal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085643 - past 30 days, see case study on 200101 0701. ref SDS 21 BGZV  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085644 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085645 - sustained, despite minimal hiking last few months.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085646 - started at 75, and reached 95.  East wind 08 mph and mostly 4 mph,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085647 - which was cooling.  Continued East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085648 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085649 - mostly flat grade, some places 3% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085650 - not hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085651 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085652 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085653 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085654 - asphalt pavement in parking lots of shopping complex.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085655 - Lucky store to buy banana with potassium that complements meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085656 - energy, and makes swallowing meds easier, because brought banana from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085657 - house today.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085658 - concrete sidewalk .5 miles.  Energy good - did not need to stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085659 - mile 4 time ____ in Mountain Mike's Pizza restaurant to take meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085660 - energy to hike.  Turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085661 - concrete sidewalk .5 miles.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085662 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085663 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085664 - Continued West past Stop Light at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085665 - .25 miles to Chevron gas station and store.  At mile 7, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085666 - onto Pine Hollow.  Hiked East 1.25 miles and turned around at Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085667 - Hollow Middle School.  Hiked back to Ygnacio Valley Road.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085668 - Chevron gas station store mile 10 time 1154 temp 83 and wind 03 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085669 - EKG looks uniform with considerable artifact.  Kardia reported HR 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085670 - Tachycardia, - see below. ref SDS 0 3OCT  Bloating PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085671 - metatarsalgia PL 2.  Left foot #1 PL 1 and #5 PL 5.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085672 - 2; top of #3, #4, #5 PL 2, top 345 PL 0, wearing size 11 both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085673 - correcting error wearing size 10 right foot yesterday.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085674 - Naproxen 500 mg total today 2 for pain.  Took 4 Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085675 - mg pills - total today 8 - for energy, absorbing lactic acid, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085676 - research on 200101 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085677 - 2250 mg - total today 4 - to reduce inflammation.  Took 2 CoQ10 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085678 - - total today 4 - to increase energy.  Sips softdrink purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085679 - Chev store for hydration and swallowing nutrition - banana brought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085680 - from home - enables swallowing medication pills combined with bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085681 - banana to slip through LESV now contracted due to achalasia, pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085682 - dilation procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085683 - liquid for HDL and energy to continue hike.  Did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085684 - electrolyte pill - all per above. ref SDS 0 FU8Y  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085685 - Pine Hollow 2.50 miles East.  At end of road beyond Diablo Elementary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085686 - School turned around hiked back to Ygnacio Valley Road.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085687 - 15, turned left onto Campus Drive hiking 1 mile West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085688 - against wind 03 mph.  The road bends North.  Turned left heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085689 - on Ygnacio Valley road .50 mile.  At Crystal Ranch Road, hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085690 - .5 mile, 3% grade against wind 02 mph - temp 95.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085691 - Cowell, going 1 mile downhill.  Turned left onto Treat for .25 mile;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085692 - turned right on Cunio and home.  Ended hike mile 18 time 1500 temp 95,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085693 - wind 02, bloating PL 4, energy deficit 3, feet metatarsalgia PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085694 - left foot #1 edge PL 2, #5 edge PL 4, right foot #1 PL 0, #5 PL 2, top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085695 - #3, 4, 5 blistering PL 0, burning sensation PL 0.  EKG sinus with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085696 - considerable artifact, Kardia reported HR 122 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085697 - ref SDS 0 8Z6E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085709 -  ..
085710 - Kardia recorded HR 053 at 0814, Possible Atrial Fibrilation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085711 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085712 - likely no AFL after hiking 18 miles temp 91 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085713 - ref SDS 0 8FEV, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085714 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085715 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085716 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085717 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085720 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085721 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260713-ecg-081454_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085726 -  ..
085727 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085728 - California, hike 18 miles with max temperature 95, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085729 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085731 - ..
085732 -                                                                                                                                                                                                                                                                                                              x
085733 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085734 -                                          x      x      1      z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085735 -                     x      x             x             1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085736 -       Date          260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25030  
085737 -       Miles            18     18     13      0      0      0      4     19      0      0      0     13     21            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  
085738 -       HR AVG          114    115    118     no     no     no    105    118     no     no     no    116    121           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  
085739 -         MAX           140    140    137   report report report  119    147   report report report  141    152           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  
085740 -         Min            77     70     91                          70     82                          81     64            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  
085741 -       El Climb Ft     540    540    395                         115    604                         226    562           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  
085742 -       Temp Max         95     91     91                          76     80                          58     80            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  
085743 -       Wind Max         12     12     12                          20     15                          17     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  
085744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085747 -              https://flow.polar.com/training/analysis/8378444331                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085750 -               ..
085752 -   
085753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085758 -  ..
085759 - EKG at mile 10 time 1133, HR 107 temp 77, wind 03; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085760 - Tachycardia... heart rate looks mostly uniform with considerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085761 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085764 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085765 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260713-ecg-115452_mile_10_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085769 -  ..
085770 - End hike EKG at mile 18, time 1500 HR 122 temp 95, wind 03 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085771 - reported Tachycardia... looks sinus mostly uniform with minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085772 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085775 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085776 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260713-ecg-150001_mile_18_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085782 -  ..
085783 - Post hike HR profile beginning 2011, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085784 - hiking 18 miles with temperature 95, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085785 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085786 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085787 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085788 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085791 -        ..
085792 -       Date      260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
085793 -       Time       2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
085794 -       Hours        12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
085795 -       HR AVG       67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
085796 -       HR MAX      125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
085797 -       HR Min       39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
085798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085803 -              https://flow.polar.com/training/analysis/8378862760                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085805 -  ..
085806 - HRV seems  30% 0 and  50% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085810 -   
085811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085813 -  ..
085814 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085815 - Lunch - banana with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085816 - Dinner - steak potato onion asperagus brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085818 -  ..
085819 - Vomiting: 80% dinner - bloating PL 2 seems to be getting better in mornings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085856 -         ..
085857 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085858 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085859 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085860 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085861 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085862 -  132.  260714 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085863 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085864 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
085865 -               0715....BP HR..................................................... 163  75  48  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085866 -               0720....BP HR..................................................... 164  81  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085867 -               0725....BP HR..................................................... 153  78  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085868 -               0730....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085869 -               0000...
085870 -  ..
085871 -               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                                                                                                                                                                                                                                                                                  
085872 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085873 -               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                                                                                                                                                                                                                                                                                                                                                                                   
085874 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085875 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085876 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085877 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085878 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085879 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085880 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085883 -  ..
085884 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085885 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085887 -  ..
085888 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085889 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085890 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085891 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085892 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085894 -  ..
085895 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085896 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085898 -  ..
085899 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085904 -  ..
085905 - Kardia recorded HR 053 at 1021, Possible Atrial Fibrilation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085906 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085907 - likely no AFL after hiking 18 miles temp 95 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085908 - ref SDS 0 SI8W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085909 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085910 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085911 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085912 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085915 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085916 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260714-ecg-102138_mile_00_069_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085922 -  ..
085923 - Post hike HR profile beginning 1933, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085924 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085925 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085926 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085927 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085928 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085931 -        ..
085932 -       Date      260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
085933 -       Time       1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
085934 -       Hours        12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
085935 -       HR AVG       67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
085936 -       HR MAX      121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
085937 -       HR Min       37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
085938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085943 -              https://flow.polar.com/training/analysis/8379560332                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085945 -  ..
085946 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085950 -   
085951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085953 -  ..
085954 - Breakfast - cheerios strawberry milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085955 - Lunch - hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085956 - Dinner - steak potato onion brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085958 -  ..
085959 - Vomiting: 0% dinner - bloating PL 4 - worse today in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085997 -         ..
085998 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085999 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086000 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086001 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086002 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086003 -  132.  260715 0700............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086004 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086005 -               0705....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
086006 -               0710....BP HR..................................................... 149  81  66  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086007 -               0715....BP HR..................................................... 149  68  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086008 -               0720....BP HR..................................................... 152  76  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086009 -               0725....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086010 -               0000....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086011 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
086012 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086013 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086014 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086015 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086016 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086017 -               0000....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086018 -               0920... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086019 -               0920....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
086020 -               0000...
086021 -  ..
086022 -               0921....miles...........  18.0  18.0  290  1192 minutes  temp  95 wind  9  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086023 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086024 -               1154....mile 10 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086025 -               1154....Naproxen 5 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086026 -               1154... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086027 -               1154... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086028 -               1154....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
086029 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086030 -               1154... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086031 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086032 -               1500... Hike ends mile 18... ref SDS 0 8Z6E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086033 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086034 -               1510....weight.................................... 181  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086035 -               1515....BP HR..................................................... 118  66  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086036 -               1521....BP HR..................................................... 120  67 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086037 -               1526....BP HR..................................................... 118  76 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086038 -               0000...
086039 -  ..
086040 -               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                                                                                                                                                                                                                                                                                  
086041 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086042 -               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                                                                                                                                                                                                                                                                                                                                                                                   
086043 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086044 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086045 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086046 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086047 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086048 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086049 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086050 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086053 -  ..
086054 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086055 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086057 -  ..
086058 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086059 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086060 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086061 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086062 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086064 -  ..
086065 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086066 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086068 -  ..
086069 - Reflux slept in bed after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086072 -  ..
086073 - Summary... hiked 18 miles testing Brooks Ghost shoes again with both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086074 - left and right shoes size 11 width 2E - there was less pressure and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086075 - pain both feet over entire hike, compared to yesterday, when left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086076 - had minimal pressure pain, and right foot had noticible pressure and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086077 - pain.  Today, hike was easy at good pace with temp steady about 70,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086078 - and heavy cloud cover for 10 miles, then stopped for EKG, meds,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086079 - hydration and nutrition.  In afternoon, cloud cover receded and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086080 - temperature increased to 95.  This caused low energy sapped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086081 - persperation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086085 -         ..
086086 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086087 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086088 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 80 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
086089 -        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                                                                                                                                                                                                                                                                                                                                                                                         
086090 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086091 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086092 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086093 -        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                                                                                                                                                                                                                                                                                                                           
086094 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086095 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086096 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086097 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086098 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
086099 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086100 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
086101 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086102 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
086103 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086104 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086105 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086106 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086107 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
086108 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086109 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086110 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086111 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086112 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
086113 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086114 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086115 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086116 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086117 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086118 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086119 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086120 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086121 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086122 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086123 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086124 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086125 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086126 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
086127 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086128 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086129 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
086130 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
086131 -        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                                                                                                                                                                                                                                                                                                                           
086132 -        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                                                                                                                                                                                                                                                                                                                                                                                    
086133 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086134 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
086135 -        Callus big toe left foot...PRP 210705........   0        100  Increased from PL 8 after large section peeled off taking Turmeric Curcumin another section in process of peeling.                                                                                                                                                                                                                                                                                                                                                                                                                           
086136 -        Callus big toe right foot...PRP 210705.......   0        100  stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086137 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086138 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
086139 -        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                                                                                                                                                                                                                                                                                                                                           
086140 -        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                                                                                                                                                                                                                                                                                                                                           
086141 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086142 -  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                                                                                                                                                                                                                                                                                                                                                                                      
086143 -        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                                                                                                                                                                                                                                                                                                                                                                                        
086144 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
086145 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
086146 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086147 -        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                                                                                                                                                                                                                                                                                                                                                              
086148 -  new   Callus little toe #5 left foot...PRP 210705..   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                                                                                                                                                                                                                                                                                                                                                                                      
086149 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
086150 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086151 -        Blister top foot at toe line right foot......   3         60  toes #3, 4 5 pain beginning about mile 9, slight inflammation top of toes after hike - maybe socks??                                                                                                                                                                                                                                                                                                                                                                                                                                         
086152 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
086153 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086154 -        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                                                                                                                                                                                                                                                                                          
086155 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
086156 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086157 -        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                                                                                                                                                                                                                                                                                                                                                                               
086158 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086159 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086160 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086161 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086162 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086163 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086164 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086165 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
086166 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086167 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086171 -  ..
086172 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today, wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086173 - Brooks Ghost size 11.0 width 2E, purchased on 161103 1410. ref SDS 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086174 - 3D5L  These shoes have a polyvinyl forefoot cover with woven gaps that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086175 - provide elastic ?give? to control lateral pressure and pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086176 - forefeet by loosely tightening the first three eyelets.  Yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086177 - wore size 11 both feet, and had much less trauma.  Decided to order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086178 - Hoka Bondi 9s size 11.5, since they are narrower than other shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086180 -  ..
086181 - Callus Injuries - today on 260707 did not bandage left foot #1 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086182 - white tape, and did not apply Sport Shield.  Worked well.  Feet hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086183 - minimally entire hike, because forefoot cover of Brooks Ghost shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086184 - is a flexible, polyvinyl web material that is cinched with laces to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086185 - cause minumal lateral pressure on edges of forefeet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086187 -  ..
086188 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086189 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086193 -  ..
086194 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086195 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086196 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086197 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086198 - weeks.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086199 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086200 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086201 - Podiatry on 260702 0830. ref SDS C4 5H6F  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086202 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086203 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086204 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086205 - ref SDS 21 QP6L  Also took 2 CoQ10 capsules for energy, and took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086206 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086207 - rise.  Swallowed pills separately and whole combined with small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086208 - avocado, mayonaise, peanut butter and margarine - pills slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086209 - LESV much better when swallowed combined with food in mouth.  About 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086210 - minutes later after dressing for hike, before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086211 - liquid Turmeric Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 SI8W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086212 - CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086213 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086214 - 200101 0701. ref SDS 21 136K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086215 - starting hike from ischemic colitis caused by taking statins and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086216 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086217 - (arrhythmia - variable heart rate) see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086218 - ref SDS 21 O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086219 - conditioning for Half Dome - because extra weight increases pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086220 - on feet injuries.  Hiked mile loop around the block to start hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086221 - which identifies bloating and feet wound issues that can be treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086222 - back at the house before issues arise miles from home.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086223 - .25 mile and turned left, onto Treat.  Starting hike both feet less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086224 - pressure reflecting to wearing size 11 both feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086225 - ref SDS 0 LS4W   Feet feeling less swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086226 - did not feel electrical shocks in balls of feet this morning due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086227 - peripheral neuropathy caused by statins, diabetes, and dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086228 - ANS.  Actually, these afflictions seem quiet the past week or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086229 - Bottom of both feet minor metatarsalgia pain - significant pain ( >5 )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086230 - both feet #1 and #5 has caused pausing hiking for injuries to heal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086231 - past 30 days, see case study on 200101 0701. ref SDS 21 BGZV  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086232 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086233 - sustained, despite minimal hiking last few months.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086234 - started at 75, and reached 95.  East wind 08 mph and mostly 4 mph,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086235 - which was cooling.  Continued East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086236 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086237 - mostly flat grade, some places 3% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086238 - not hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086239 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086240 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086241 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086242 - asphalt pavement in parking lots of shopping complex.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086243 - Lucky store to buy banana with potassium that complements meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086244 - energy, and makes swallowing meds easier, because brought banana from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086245 - house today.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086246 - concrete sidewalk .5 miles.  Energy good - did not need to stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086247 - mile 4 time ____ in Mountain Mike's Pizza restaurant to take meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086248 - energy to hike.  Turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086249 - concrete sidewalk .5 miles.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086250 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086251 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086252 - Continued West past Stop Light at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086253 - .25 miles to Chevron gas station and store.  At mile 7, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086254 - onto Pine Hollow.  Hiked East 1.25 miles and turned around at Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086255 - Hollow Middle School.  Hiked back to Ygnacio Valley Road.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086256 - Chevron gas station store mile 10 time 1154 temp 83 and wind 03 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086257 - EKG looks uniform with considerable artifact.  Kardia reported HR 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086258 - Tachycardia, - see below. ref SDS 0 3OCT  Bloating PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086259 - metatarsalgia PL 2.  Left foot #1 PL 1 and #5 PL 5.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086260 - 2; top of #3, #4, #5 PL 2, top 345 PL 0, wearing size 11 both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086261 - correcting error wearing size 10 right foot yesterday.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086262 - Naproxen 500 mg total today 2 for pain.  Took 4 Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086263 - mg pills - total today 8 - for energy, absorbing lactic acid, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086264 - research on 200101 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086265 - 2250 mg - total today 4 - to reduce inflammation.  Took 2 CoQ10 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086266 - - total today 4 - to increase energy.  Sips softdrink purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086267 - Chev store for hydration and swallowing nutrition - banana brought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086268 - from home - enables swallowing medication pills combined with bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086269 - banana to slip through LESV now contracted due to achalasia, pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086270 - dilation procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086271 - liquid for HDL and energy to continue hike.  Did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086272 - electrolyte pill - all per above. ref SDS 0 FU8Y  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086273 - Pine Hollow 2.50 miles East.  At end of road beyond Diablo Elementary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086274 - School turned around hiked back to Ygnacio Valley Road.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086275 - 15, turned left onto Campus Drive hiking 1 mile West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086276 - against wind 03 mph.  The road bends North.  Turned left heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086277 - on Ygnacio Valley road .50 mile.  At Crystal Ranch Road, hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086278 - .5 mile, 3% grade against wind 02 mph - temp 95.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086279 - Cowell, going 1 mile downhill.  Turned left onto Treat for .25 mile;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086280 - turned right on Cunio and home.  Ended hike mile 18 time 1500 temp 95,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086281 - wind 02, bloating PL 4, energy deficit 3, feet metatarsalgia PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086282 - left foot #1 edge PL 2, #5 edge PL 4, right foot #1 PL 0, #5 PL 2, top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086283 - #3, 4, 5 blistering PL 0, burning sensation PL 0.  EKG sinus with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086284 - considerable artifact, Kardia reported HR 122 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086285 - ref SDS 0 8Z6E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086297 -  ..
086298 - Kardia recorded HR 053 at 1030, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086299 - heart beat lengths with p-waves and moderate artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086300 - after hiking 18 miles temp 95 yesterday, per above, ref SDS 0 SI8W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086301 - and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086302 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086303 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086304 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086307 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086308 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260715-ecg-103007_mile_00_069_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086313 -  ..
086314 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086315 - California, hike 18 miles with max temperature 95, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086316 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086318 - ..
086319 -                                                                                                                                                                                                                                                                                                              x
086320 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086321 -                                          x      x      1      z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086322 -                     x      x             x             1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086323 -       Date          260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25030  
086324 -       Miles            18     18     13      0      0      0      4     19      0      0      0     13     21            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  
086325 -       HR AVG          114    115    118     no     no     no    105    118     no     no     no    116    121           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  
086326 -         MAX           140    140    137   report report report  119    147   report report report  141    152           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  
086327 -         Min            77     70     91                          70     82                          81     64            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  
086328 -       El Climb Ft     540    540    395                         115    604                         226    562           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  
086329 -       Temp Max         95     91     91                          76     80                          58     80            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  
086330 -       Wind Max         12     12     12                          20     15                          17     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  
086331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086334 -              https://flow.polar.com/training/analysis/8378444331                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086337 -               ..
086339 -   
086340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086345 -  ..
086346 - EKG at mile 10 time 1133, HR 107 temp 77, wind 03; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086347 - Tachycardia... heart rate looks mostly uniform with considerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086348 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086351 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086352 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260713-ecg-115452_mile_10_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086356 -  ..
086357 - End hike EKG at mile 18, time 1500 HR 122 temp 95, wind 03 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086358 - reported Tachycardia... looks sinus mostly uniform with minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086359 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086362 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086363 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260713-ecg-150001_mile_18_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086369 -  ..
086370 - Post hike HR profile beginning 2035, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086371 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086372 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086373 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086374 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086375 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086378 -        ..
086379 -       Date      260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
086380 -       Time       2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
086381 -       Hours        11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
086382 -       HR AVG       58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
086383 -       HR MAX      126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
086384 -       HR Min       36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
086385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086390 -              https://flow.polar.com/training/analysis/8380091110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086392 -  ..
086393 - HRV seems  20% 0 and  40% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086397 -   
086398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086400 -  ..
086401 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086402 - Lunch - hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086403 - Dinner - steak potato onion brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086405 -  ..
086406 - Vomiting: 0% dinner - bloating PL 4 - same today in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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086443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086445 -         ..
086446 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086447 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086448 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086449 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086450 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086451 -  132.  260716 0730............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086452 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086453 -               0735....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
086454 -               0740....BP HR..................................................... 169  78  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086455 -               0745....BP HR..................................................... 175  52  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086456 -               0750....BP HR..................................................... 157  83  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086457 -               0755....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086458 -               0920....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086459 -               0920....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
086460 -               0920... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086461 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086462 -               0920....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086463 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086464 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086465 -               1005....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086466 -               1005... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086467 -               1005....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
086468 -               0000...
086469 -  ..
086470 -               1008....miles...........  15.0  33.0  240  1192 minutes  temp  88 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086471 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086472 -               0000....mile 10 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086473 -               0000....Naproxen 5 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086474 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086475 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086476 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
086477 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086478 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086479 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086480 -               1421... Hike ends mile 15... ref SDS 0 JYCV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086481 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086482 -               1430....weight.................................... 182  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086483 -               1435....BP HR..................................................... 128  76 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086484 -               1441....BP HR..................................................... 131  74 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086485 -               1446....BP HR..................................................... 132  80 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086486 -               0000...
086487 -  ..
086488 -               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                                                                                                                                                                                                                                                                                  
086489 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086490 -               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                                                                                                                                                                                                                                                                                                                                                                                   
086491 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086492 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086493 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086494 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086495 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086496 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086497 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086498 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086501 -  ..
086502 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086503 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086505 -  ..
086506 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086507 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086508 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086509 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086510 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086512 -  ..
086513 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086514 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086516 -  ..
086517 - Reflux slept in recliner chair again last night, after EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086518 - 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086521 -  ..
086522 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086523 - hydration and medication for hiking.  Did test hike around the block 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086524 - mile.  Continued completing 15 miles wearing Brooks Ghost shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086525 - moderate pain, pending receiving new Hoka shoes that avoid pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086526 - scheduled for delivery OA 260718.  Temperature dropped into 80s, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086527 - being 100 past few days.  Forgot to bring wallet, so hiked without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086528 - stopping for EKG, meds, hydration and nutrition, limiting distance to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086529 - 15 miles, and did not hike at college to use exercise station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086533 -         ..
086534 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086535 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086536 -        Stomach pain bloating - unstable ANS.........   5         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 08 miles, but increased by end of hike; temp 88 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
086537 -        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                                                                                                                                                                                                                                                                                                                                                                                         
086538 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086539 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086540 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086541 -        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                                                                                                                                                                                                                                                                                                                           
086542 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086543 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086544 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086545 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086546 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
086547 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086548 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
086549 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086550 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
086551 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086552 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086553 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086554 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086555 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
086556 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086557 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086558 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086559 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086560 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
086561 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086562 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086563 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086564 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086565 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086566 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086567 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086568 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086569 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086570 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086571 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086572 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086573 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086574 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
086575 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086576 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086577 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
086578 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
086579 -        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                                                                                                                                                                                                                                                                                                                           
086580 -        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                                                                                                                                                                                                                                                                                                                                                                                    
086581 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086582 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
086583 -        Callus big toe left foot...PRP 210705........   2        100  decreased from PL 4 - still pending peel large section after taking Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086584 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086585 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086586 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
086587 -        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                                                                                                                                                                                                                                                                                                                                           
086588 -        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                                                                                                                                                                                                                                                                                                                                           
086589 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086590 -        Callus little toe right foot..top of toe.....   5         60  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                                                                                                                                                                                                                                                                                                                                                                                      
086591 -        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                                                                                                                                                                                                                                                                                                                                                                                        
086592 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
086593 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
086594 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086595 -        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                                                                                                                                                                                                                                                                                                                                                              
086596 -        Callus little toe #5 left foot...PRP 210705..   3         40  wore old Brooks Ghost x-wide shoes and 2 pair double ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086597 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
086598 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086599 -        Blister top foot at toe line right foot......   2         60  toes #3, 4 5 pain beginning about mile 9, slight inflammation top of toes after hike - maybe socks??                                                                                                                                                                                                                                                                                                                                                                                                                                         
086600 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
086601 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086602 -        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                                                                                                                                                                                                                                                                                          
086603 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
086604 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086605 -        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                                                                                                                                                                                                                                                                                                                                                                               
086606 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086607 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086608 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086609 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086610 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086611 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086612 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086613 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
086614 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086615 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086619 -  ..
086620 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today, wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086621 - Brooks Ghost size 11.0 width 2E, purchased on 161103 1410. ref SDS 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086622 - 3D5L  These shoes have a polyvinyl forefoot cover with woven gaps that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086623 - provide elastic ?give? to control lateral pressure and pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086624 - forefeet by loosely tightening the first three eyelets.  Seems less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086625 - lateral pressure both feet #1s and #5s; more pressure bottom of feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086626 - causing metatarsalgia.  Pending delivery 2 pair Hoka shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086627 - greater cushioning that may relieve matatarsalgia and might be wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086628 - at size 11.5 to reduce lateral pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086630 -  ..
086631 - Callus Injuries - today on 260716 large callus right foot #1 edge came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086632 - nearly completely loose.  Used cutting tool to remove it.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086633 - Sport Shield.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086635 -  ..
086636 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086637 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086641 -  ..
086642 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086643 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086644 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086645 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086646 - weeks.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086647 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086648 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086649 - Podiatry on 260702 0830. ref SDS C4 5H6F  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086650 - mg pills for energy and absorbing lactic acid both enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086651 - longer distance.  Magnesium also reduces inflammation, all enabling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086652 - HDL to increase, which, together with increased EPCs, regress plaque                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086653 - in blood vessels - see research on 200101 0701, ref SDS 21 QP6L  Also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086654 - took 2 CoQ10 capsules for energy, and took 2 Turmeric Curcumin 2250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086655 - pills that prevent inflammation, which enables HDL to rise.  Swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086656 - pills separately and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086657 - mayonaise, peanut butter and margarine - pills slip through LESV much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086658 - better when swallowed combined with food in mouth.  About 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086659 - later after dressing for hike, before starting took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086660 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 SI8W  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086661 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086662 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086663 - ref SDS 21 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086664 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086665 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086666 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086667 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086668 - Half Dome - because extra weight increases pressure on feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086669 - Hiked mile loop around the block to start hike, which identifies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086670 - bloating and feet wound issues that can be treated back at the house                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086671 - before problems arise miles from home.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086672 - turned left, onto Treat.  Starting hike both feet less pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086673 - reflecting switch to size 11 shoes, per above. ref SDS 0 LS4W  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086674 - feeling less swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086675 - electrical shocks in balls of feet this morning due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086676 - neuropathy caused by statins, diabetes, and dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086677 - Actually, these afflictions seem quiet the past week or so.  Bottom of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086678 - both feet minor metatarsalgia pain - significant pain ( >5 ) both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086679 - #1 and #5 has caused pausing hiking for injuries to heal past 30 days,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086680 - see case study on 200101 0701. ref SDS 21 BGZV  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086681 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086682 - despite minimal hiking last few months.  Temperature started at 75,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086683 - and reached 95.  East wind 08 mph and mostly 4 mph, which was cooling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086684 - Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086685 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086686 - some places 3% uphill, and very light traffic.  At 1107 called VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086687 - Sacramento GI Clinic.  Talked to Hazel.  She said Gracie is with a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086688 - patient and will call back.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086689 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086690 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086691 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086692 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086693 - shopping complex.  Did not stop at Lucky store to buy banana with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086694 - potassium that complements meds for energy, and makes swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086695 - easier, because brought banana from home today.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086696 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086697 - good - did not need to stop at mile 4 time ____ in Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086698 - Pizza restaurant to take meds for energy to hike.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086699 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086700 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086701 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086702 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086703 - at Michigan Boulevard.  Hiked another .25 miles to Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086704 - and store.  At mile 7, turned left onto Pine Hollow.  Hiked East 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086705 - miles - past Pine Hollow Middle at Indiana Drive, turned around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086706 - Hiked back to Ygnacio Valley Road.  Forgot to bring wallet with credit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086707 - card, so did not stop a Chevron store for hydration, nutrition and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086708 - medication.  Continued on Campus Drive 1 mile West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086709 - against wind 08 mph.  The road bends North.  Turned left heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086710 - on Ygnacio Valley road .50 mile; turned left hiking South on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086711 - Ranch Road uphill .25 mile, 5% grade.  Turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086712 - Continued West on Ygnacio Valley Road 3% grade uphill against wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086713 - mph - temp 88.  At summit turned around mile 13, hiked back .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086714 - Turned left hiking North on Cowell, 1 mile downhill 5% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086715 - left onto Treat for .25 mile; turned right on Cunio and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086716 - hike mile 15 time 1421 temp 88, wind 12 mph, bloating PL 4, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086717 - deficit 0, feet metatarsalgia PL 2, left foot #1 edge PL 1, #5 edge PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086718 - 4, right foot #1 PL 0, #5 PL 4, top #3, 4, 5 blistering PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086719 - sensation PL 0.  EKG sinus with minimal artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086720 - 120 Tachycardia - see below. ref SDS 0 JYCV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086730 -  ..
086731 - Kardia recorded HR 045 at 0751, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086732 - mostly variable heart beat lengths with p-waves and moderate artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086733 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086734 - ref SDS 0 DB4P, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086735 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086736 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086737 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086738 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086741 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086742 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260716-ecg-075150_mile_00_045_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086747 -  ..
086748 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086749 - California, hike 15 miles with max temperature 88, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086750 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086752 - ..
086753 -                                                                                                                                                                                                                                                                                                              x
086754 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086755 -                                          x      x      1      z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086756 -                     x      x             x             1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086757 -       Date          260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25030  
086758 -       Miles            15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
086759 -       HR AVG          117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
086760 -         MAX           136   report report  140    140    137   report report report  119    147   report report report  141    152           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   repo  
086761 -         Min            85                   77     70     91                          70     82                          81     64            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         
086762 -       El Climb Ft     605                  540    540    395                         115    604                         226    562           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         
086763 -       Temp Max         88                   95     91     91                          76     80                          58     80            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         
086764 -       Wind Max         12                   12     12     12                          20     15                          17     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         
086765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086768 -              https://flow.polar.com/training/analysis/8380349364                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086771 -               ..
086773 -   
086774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086777 -  ..
086778 - End hike EKG at mile 15, time 1421 HR 122 temp 88, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086779 - reported Tachycardia... looks sinus mostly uniform with minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086780 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086783 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086784 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260716-ecg-142133_mile_15_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086790 -  ..
086791 - Post hike HR profile beginning 1958, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086792 - hiking 15 miles with temperature 88, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086793 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086794 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086795 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086796 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086799 -        ..
086800 -       Date      260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
086801 -       Time       1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
086802 -       Hours        12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
086803 -       HR AVG       62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
086804 -       HR MAX      121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
086805 -       HR Min       39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
086806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086812 -              https://flow.polar.com/training/analysis/8380733609
086813 -  ..
086814 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086818 -   
086819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086821 -  ..
086822 - Breakfast - avocado mayo margarine peanut butter with medications, see above. ref SDS 0 DLHR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086823 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086824 - Dinner - steak potato onion brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086826 -  ..
086827 - Vomiting: 20% dinner - bloating PL 5 - worse today in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086868 -         ..
086869 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086870 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086871 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086872 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086873 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086874 -  132.  260717 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086875 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086876 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
086877 -               0720....BP HR..................................................... 167  69  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086878 -               0725....BP HR..................................................... 164  80  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086879 -               0730....BP HR..................................................... 165  68  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086880 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086881 -               0735....Magnesium 300 mg 1 Pill  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086882 -               0735....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
086883 -               0000...
086884 -  ..
086885 -               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                                                                                                                                                                                                                                                                                  
086886 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086887 -               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                                                                                                                                                                                                                                                                                                                                                                                   
086888 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086889 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086890 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086891 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086892 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086893 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086894 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086895 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086898 -  ..
086899 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086900 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086902 -  ..
086903 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086904 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086905 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086906 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086907 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086909 -  ..
086910 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086911 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086913 -  ..
086914 - Reflux slept in bed, after EGD dilation on 260421 0830. ref SDS C2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086915 - 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086920 -  ..
086921 - Kardia recorded HR 047 at 0939, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086922 - mostly variable heart beat lengths with p-waves and some initial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086923 - artifact, likely no AFL after hiking 15 miles temp __ yesterday, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086924 - above, ref SDS 0 DLHR, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086925 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086926 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086927 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086928 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086931 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086932 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260717-ecg-093938_mile_00_047_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086938 -  ..
086939 - Post hike HR profile beginning 1959, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086940 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086941 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086942 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086943 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086944 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086947 -        ..
086948 -       Date      260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
086949 -       Time       1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
086950 -       Hours        11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
086951 -       HR AVG       60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
086952 -       HR MAX      125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
086953 -       HR Min       37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
086954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086959 -              https://flow.polar.com/training/analysis/8381294532                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086961 -  ..
086962 - HRV seems   0% 0 and  40% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086965 -   
086966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086969 -  ..
086970 - Breakfast - eggs toast avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086971 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086972 - Dinner - macaroni cheese steak onion brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086974 -  ..
086975 - Vomiting:  0% dinner - bloating PL 5 - same today in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087003 -         ..
087004 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087005 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087006 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087007 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087008 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087009 -  132.  260718 0635............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087010 -               0635....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087011 -               0635....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
087012 -               0640....BP HR..................................................... 168  67  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087013 -               0645....BP HR..................................................... 154  78  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087014 -               0650....BP HR..................................................... 150  83  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087015 -               0655....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087016 -               0655....Magnesium 300 mg 1 Pill  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087017 -               0655....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
087018 -               0000...
087019 -  ..
087020 -               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                                                                                                                                                                                                                                                                                  
087021 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087022 -               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                                                                                                                                                                                                                                                                                                                                                                                   
087023 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087024 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087025 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087026 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087027 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087028 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087029 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087030 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087033 -  ..
087034 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087035 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087037 -  ..
087038 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087039 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087040 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087041 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087042 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087044 -  ..
087045 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087046 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087048 -  ..
087049 - Reflux slept in recliner chair again last night, after EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087050 - 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087055 -  ..
087056 - Kardia recorded HR 047 at 1004, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087057 - heart beat lengths with p-waves and some initial artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087058 - AFL after hiking 00 miles temp __ yesterday, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087059 - FKR6, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087060 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087061 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087062 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087065 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087066 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260718-ecg-100407_mile_00_051_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087070 -  ..
087071 - Post hike HR profile beginning 2113, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087072 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087073 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087074 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087075 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087076 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087079 -        ..
087080 -       Date      260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ......  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    
087081 -       Time       2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
087082 -       Hours         8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
087083 -       HR AVG       57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
087084 -       HR MAX      101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
087085 -       HR Min       38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
087086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087091 -              https://flow.polar.com/training/analysis/8381827793                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087093 -  ..
087094 - HRV seems  10% 0 and  20% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087097 -   
087098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087101 -  ..
087102 - Breakfast - eggs toast avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087103 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087104 - Dinner - macaroni cheese steak onion brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087106 -  ..
087107 - Vomiting:  0% dinner - bloating PL 3 - better today in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087137 -         ..
087138 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087139 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087140 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087141 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087142 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087143 -  132.  260719 0510............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087144 -               0510....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087145 -               0515....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
087146 -               0520....BP HR..................................................... 164  79  50  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087147 -               0525....BP HR..................................................... 173  78  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087148 -               0530....BP HR..................................................... 167  75  43                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087149 -               0535....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087150 -               0615....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087151 -               0615....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
087152 -               0615... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087153 -               0600....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087154 -               0600....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087155 -     forgot    0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087156 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087157 -               0600....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087158 -               0600... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087159 -               0600....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
087160 -               0000...
087161 -  ..
087162 -               0738....miles...........  23.0  56.0  387  1192 minutes  temp  85 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087163 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087164 -               0000....mile 12 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087165 -               0000....Naproxen 5 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087166 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087167 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087168 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
087169 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087170 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087171 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087172 -               1421... Hike ends mile 15... ref SDS 0 JYCV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087173 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087174 -               1515....weight.................................... 181  lost  6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087175 -               1520....BP HR..................................................... 115  71 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087176 -               1539....BP HR..................................................... 104  65  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087177 -               1555....BP HR.....................................................  93  59  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087178 -               0000...
087179 -  ..
087180 -               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                                                                                                                                                                                                                                                                                  
087181 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087182 -               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                                                                                                                                                                                                                                                                                                                                                                                   
087183 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087184 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087185 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087186 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087187 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087188 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087189 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087190 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087193 -  ..
087194 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087195 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087197 -  ..
087198 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087199 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087200 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087201 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087202 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087204 -  ..
087205 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087206 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087208 -  ..
087209 - Swallowing - before starting hike difficult injesting medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087210 - pills with few bites avocado, mayonaise, margarine and peanut butter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087211 - After hike had to extend time to swallow food to several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087213 -  ..
087214 - Reflux slept in recliner chair again last night, after EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087215 - 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087218 -  ..
087219 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087220 - hydration and medication for hiking.  Temperature 10 degress lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087221 - than lately, especially morning made hike easier to tolerate.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087222 - test hike around the block 1 mile.  Wore new Hoka model Gaviota 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087223 - shoes larger size 11.5 extra wide seems less traumatic than Bondi 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087224 - size 10.5 extra wide.  Just before starting hike was able to peel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087225 - large callus from left foot #1 edge, which has caused pain for months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087226 - Tore some native tissue.  Applied bandage.  This was only partially                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087227 - successfu.  By mile 12, pain prevented completing planned 30 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087228 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087232 -         ..
087233 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087234 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087235 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 88 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
087236 -        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                                                                                                                                                                                                                                                                                                                                                                                         
087237 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087238 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087239 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087240 -        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                                                                                                                                                                                                                                                                                                                           
087241 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087242 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087243 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087244 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087245 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
087246 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087247 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
087248 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087249 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
087250 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087251 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087252 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087253 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087254 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
087255 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087256 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087257 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087258 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087259 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
087260 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087261 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087262 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087263 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087264 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087265 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087266 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087267 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087268 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087269 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087270 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087271 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087272 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087273 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
087274 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087275 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087276 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
087277 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
087278 -        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                                                                                                                                                                                                                                                                                                                           
087279 -        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                                                                                                                                                                                                                                                                                                                                                                                    
087280 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087281 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
087282 -        Callus big toe left foot...PRP 210705........   6         30  peeled large section after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                                                
087283 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087284 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087285 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
087286 -        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                                                                                                                                                                                                                                                                                                                                           
087287 -        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                                                                                                                                                                                                                                                                                                                                           
087288 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087289 -        Callus little toe right foot..top of toe.....   0         60  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                                                                                                                                                                                                                                                                                                                                                                                      
087290 -        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                                                                                                                                                                                                                                                                                                                                                                                        
087291 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
087292 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
087293 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087294 -        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                                                                                                                                                                                                                                                                                                                                                              
087295 -        Callus little toe #5 left foot...PRP 210705..   0        100  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
087296 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
087297 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087298 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087299 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
087300 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087301 -        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                                                                                                                                                                                                                                                                                          
087302 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
087303 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087304 -        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                                                                                                                                                                                                                                                                                                                                                                               
087305 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087306 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087307 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087308 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087309 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087310 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087311 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087312 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
087313 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087314 -        Hiker's rash vasculitis.see 210618...........   1         80  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087318 -  ..
087319 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087320 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087321 - purchased on 260714 0931. ref SDS C6 IK1V  These shoes lack Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087322 - Ghost polyvinyl, ref SDS 0 YHGY, forefoot cover with woven gaps that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087323 - has elastic "give" to reduce lateral pressure and pain on edges of #1s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087324 - and #5s, by loosely tightening the first two eyelets.  Gaviota 6 also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087325 - have less cushioning than Bondi 9s.  They are a size larger than 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087326 - and cover material while less "give" than Books Ghost is softer and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087327 - more elastic than Bondi 9 shoes.  This combination of wider shoe base                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087328 - and less rigid foot cover caused less lateral pressure on #1s and #5s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087329 - than has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087330 - slightly more pressure on bottom of forefeet possibly causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087331 - increased metatarsalgia compared to Bondi 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087333 -  ..
087334 - Callus Injuries - this morning on 260719, large callus left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087335 - nearly came completely loose.  Used Podiatry cutting tool to fully                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087336 - remove it, after softening tissue in shower.  This caused large wound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087337 - that was treated with donut bandage and white tape.  PL 0 4 - 6 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087338 - then increased to PL 6 mile 12 to end of hike.  Also peeled callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087339 - with fingernail on edge left foot #5.  Eliminated pain entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087340 - Previously, on 260716 large callus right foot #1 edge came nearly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087341 - completely loose, and was removed with cutting tool.  Applied Sport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087342 - Shield.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087344 -  ..
087345 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087346 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087350 -  ..
087351 - Concord 23 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087352 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087353 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087354 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087355 - weeks.  Took 1 Naproxen 500 mg for pain management - since have not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087356 - hiked for 2 days, see Samsung GPS mileage below, ref SDS 0 PFSN, there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087357 - is no metatarsalgia pain in feet starting the hike today, and major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087358 - calluses #1s and #5s both feet have peeled loose past few days, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087359 - above. ref SDS 0 9GSJ  Took 4 Magnesium Complex 300 mg pills for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087360 - energy and absorbing lactic acid that together enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087361 - therapeutic mileage that elevates HDL and EPCs, and extend telomeres.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087362 - Magnesium also reduces inflammation, essential for HDL to increase,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087363 - see research on 200101 0701, ref SDS 21 QP6L  Also took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087364 - capsules for energy, and took 2 Turmeric Curcumin 2250 mg pills that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087365 - prevent inflammation, which enables HDL to rise.  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087366 - separately and whole combined with small amount avocado, mayonaise,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087367 - peanut butter and margarine - pills slip through LESV much better when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087368 - swallowed combined with food.  About 20 minutes later after dressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087369 - for hike, before starting took liquid Turmeric Curcumin and Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087370 - CoQ10 per above. ref SDS 0 YLD8  CoQ10 is an enzyme produced in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087371 - body that supports an electron transport chain (ETC) giving human                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087372 - cells energy - see case study on 200101 0701. ref SDS 21 136K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087373 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087374 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087375 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087376 - rate) see case study on 200101 0701. ref SDS 21 O33H  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087377 - backpack to carry stuff - good to build conditioning for Half Dome -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087378 - because extra weight increases pressure on feet injuries.  Hiked mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087379 - loop around the block to start hike, which identifies bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087380 - feet wound issues that can be treated back at the house before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087381 - problems arise miles from home.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087382 - onto Treat.  Starting hike both feet less pressure reflecting switch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087383 - to size 11.5 shoes, per above. ref SDS 0 JFEU  Feet feeling less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087384 - swelled and like pins and needles - did not feel electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087385 - balls of feet this morning due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087386 - statins, diabetes, and dysfunctional ANS.  Actually, these afflictions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087387 - seem quiet the past weeks.  Bottom of both feet minor metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087388 - pain - significant pain ( >5 ) both feet #1 and #5 has caused pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087389 - hiking for injuries to heal past 30 days, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087390 - 0701. ref SDS 21 BGZV  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087391 - dyspnea, indicating conditioning has sustained, despite minimal hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087392 - last few months.  Temperature started at 75, and reached 85.  West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087393 - wind 12 mph and mostly 8 mph, which was cooling.  Continued East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087394 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087395 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087396 - uphill, and very light traffic.  Hiked across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087397 - and back today.  Continued on Turtle Creek Road uphill 4% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087398 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087399 - on asphalt road shoulder.  At mile 4, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087400 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087401 - complex.  Did not stop at Lucky store to buy banana with potassium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087402 - that complements meds for energy, and makes swallowing meds easier,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087403 - because brought banana from home today.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087404 - traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087405 - good - did not need to stop at mile 4 time ____ in Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087406 - Pizza restaurant to take meds for energy to hike.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087407 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087408 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087409 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087410 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087411 - at Michigan Boulevard.  Hiked another .25 miles to Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087412 - and store.  At mile 7, turned left onto Pine Hollow.  Hiked East 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087413 - miles West to end of Pine Hollow.  Turned around hiking back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087414 - Ygnacio Valley Road.  Stopped at Chevron gas station store mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087415 - time 1103 temp 73 and wind 06 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087416 - Kardia reported HR 107 Tachycardia, - see below. ref SDS 0 MW4Z                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087417 - Bloating PL 3, both feet metatarsalgia PL 4.  Left foot #1 PL 5 (minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087418 - injury peeling callus, per above. ref SDS 0 9GSJ) and #5 PL 0.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087419 - foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today, than past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087420 - weeks.  Took 2 oxycodone 5 mg total today 2 for pain.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087421 - Magnesium complex 300 mg pills - total today 8 - for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087422 - lactic acid, per research on 200101 0701. ref SDS 21 QP6L  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087423 - Turmeric Curcumin 2250 mg - total today 4 - to reduce inflammation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087424 - Took 2 CoQ10 pills - total today 4 - to increase energy.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087425 - softdrink purchased from Chev store for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087426 - nutrition - banana brought from home - enables swallowing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087427 - pills combined with bites of banana to slip through LESV now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087428 - contracted due to achalasia, pending dilation procedure scheduled on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087429 - 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087430 - continue hike.  Did not take Nuun electrolyte pill.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087431 - Pine Hollow 0.25 miles East.  Past Discovery Way turned around hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087432 - back to Ygnacio Valley Road.  Turned left onto Campus Drive hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087433 - mile West uphill 3% grade against wind 08 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087434 - Turned left heading West on Ygnacio Valley road .50 mile.  At Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087435 - Ranch Road, turned around and hiked back.  Turned onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087436 - again and hiked uphill 4% grade .5 mile.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087437 - California State University East Bay Concord Campus - mile 15.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087438 - 4 loops around main buildings - used exercise equipment at back of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087439 - buildings to do 20 partial pullups and pushups each pass.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087440 - through Faculty and Student Parking lots.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087441 - mile 20, left the college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087442 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087443 - miles.  At mile 15, hiked past Crystal Ranch Road, heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087444 - Ygnacio Valley road 1 mile uphill 3% grade against wind 12 mph - temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087445 - 85.  Turned left onto Cowell heading North 1 mile downhill 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087446 - Turned left onto Treat for .25 mile; turned right on Cunio and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087447 - Ended hike mile 23 time 1457 temp 85, wind 12, bloating PL 2, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087448 - deficit 0, feet metatarsalgia PL 4, left foot #1 edge PL 9, #5 edge PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087449 - 2, right foot #1 PL 0, #5 PL 2, top #3, 4, 5 blistering PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087450 - sensation PL 0.  EKG sinus with moderate artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087451 - 115 Tachycardia - see below. ref SDS 0 CISP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087461 -  ..
087462 - Kardia recorded HR 052 at 0523, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087463 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087464 - after hiking 00 miles temp __ yesterday, per above, ref SDS 0 HVD4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087465 - and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087466 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087467 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087468 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087471 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087472 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260719-ecg-052349_mile_00_052_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087477 -  ..
087478 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087479 - California, hike 23 miles with max temperature 85, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087480 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087482 - ..
087483 -                                                                                                                                                                                                                                                                                                              x
087484 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087485 -                                          x      x      1      z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087486 -                     x      x             x             1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087487 -       Date          260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25030  
087488 -       Miles            23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
087489 -       HR AVG          115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
087490 -         MAX           136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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 repo  
087491 -         Min            77                   85                   77     70     91                          70     82                          81     64            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                                            
087492 -       El Climb Ft     635                  605                  540    540    395                         115    604                         226    562           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                                            
087493 -       Temp Max         85                   88                   95     91     91                          76     80                          58     80            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                                            
087494 -       Wind Max         12                   12                   12     12     12                          20     15                          17     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                                            
087495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087498 -              https://flow.polar.com/training/analysis/8382156075                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087501 -               ..
087503 -   
087504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087508 -  ..
087509 - EKG at mile 12 time 1103, HR 107 temp 73, wind 06; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087510 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087511 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087514 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087515 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260719-ecg-110357_mile_12_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087519 -  ..
087520 - End hike EKG at mile 23, time 1457 HR 115 temp 58, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087521 - reported Tachycardia... looks sinus mostly uniform with minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087522 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087525 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087526 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260719-ecg-145754_mile_23_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087532 -  ..
087533 - Post hike HR profile beginning 2039, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087534 - hiking 23 miles with temperature 85, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087535 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087536 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087537 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087538 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087541 -        ..
087542 -       Date      260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
087543 -       Time       2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
087544 -       Hours        11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
087545 -       HR AVG       57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
087546 -       HR MAX      105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
087547 -       HR Min       34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
087548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087553 -              https://flow.polar.com/training/analysis/8382515199                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087555 -  ..
087556 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087559 -   
087560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087563 -  ..
087564 - Breakfast - avocado peanut butter mayonaise margarine - few bites difficult to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087565 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087566 - Dinner - macaroni cheese steak onion brocolli potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087568 -  ..
087569 - Vomiting:  0% dinner - bloating PL 3 - 20% difficulty swallowing morning and evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087595 -         ..
087596 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087597 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087598 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087599 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087600 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087601 -  132.  260720 0705............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087602 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087603 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
087604 -               0720....BP HR..................................................... 158  68  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087605 -               0725....BP HR..................................................... 157  75  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087606 -               0730....BP HR..................................................... 138  73  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087607 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087608 -               0735....Magnesium 300 mg 1 Pill  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087609 -               0735....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
087610 -               0000...
087611 -  ..
087612 -               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                                                                                                                                                                                                                                                                                  
087613 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087614 -               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                                                                                                                                                                                                                                                                                                                                                                                   
087615 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087616 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087617 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087618 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087619 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087620 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087621 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087622 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087625 -  ..
087626 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087627 - Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087629 -  ..
087630 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087631 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087632 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087633 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087634 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087636 -  ..
087637 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087638 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087640 -  ..
087641 - Swallowing - continue solid and liquid backing up above LESV; eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087642 - very slowly to avoid gagging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087644 -  ..
087645 - Reflux slept in bed last night, after EGD dilation on 260421 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087646 - ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087651 -  ..
087652 - Kardia recorded HR 045 at 0924, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087653 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087654 - hiking 23 miles temp 95 yesterday, per above, ref SDS 0 YLD8, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087655 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087656 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087657 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087658 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087661 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087662 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260720-ecg-092449_mile_00_045_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087666 -  ..
087667 - Post hike HR profile beginning 1934, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087668 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087669 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087670 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087671 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087672 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087675 -        ..
087676 -       Date      260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
087677 -       Time       1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
087678 -       Hours        12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
087679 -       HR AVG       71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
087680 -       HR MAX      139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
087681 -       HR Min       38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
087682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087684 -              https://flow.polar.com/training/analysis/8383163938                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087686 -  ..
087687 - HRV seems  10% 0 and  20% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087690 -   
087691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087694 -  ..
087695 - Breakfast - eggs avocado cottage cheese- few bites difficult to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087696 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087697 - Dinner - macaroni cheese steak onion brocolli potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087699 -  ..
087700 - Vomiting:  0% dinner - bloating PL 3 - 20% difficulty swallowing morning and evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087726 -         ..
087727 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087728 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087729 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087730 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087731 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087732 -  132.  260721 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087733 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087734 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
087735 -               0720....BP HR..................................................... 166  64  51  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087736 -               0725....BP HR..................................................... 163  70  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087737 -               0730....BP HR..................................................... 156  77  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087738 -               0735....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087739 -               0735....Magnesium 300 mg 1 Pill  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087740 -               0735....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
087741 -               0000...
087742 -  ..
087743 -               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                                                                                                                                                                                                                                                                                  
087744 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087745 -               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                                                                                                                                                                                                                                                                                                                                                                                   
087746 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087747 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087748 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087749 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087750 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087751 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087752 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087755 -  ..
087756 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087757 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087759 -  ..
087760 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087761 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087762 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087763 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087764 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087766 -  ..
087767 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087768 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087770 -  ..
087771 - Swallowing - before starting hike difficult injesting medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087772 - pills with few bites avocado, mayonaise, margarine and peanut butter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087773 - After hike had to extend time to swallow food to several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087775 -  ..
087776 - Reflux slept in bed last night, after EGD dilation on 260421 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087777 - ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087782 -  ..
087783 - Kardia recorded HR 045 at 0805, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087784 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087785 - hiking 23 miles temp 95 yesterday, per above, ref SDS 0 YLD8, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087786 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087787 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087788 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087789 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087792 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087793 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260721-ecg-080520_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087799 -  ..
087800 - Post hike HR profile beginning 2030, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087801 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087802 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087803 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087804 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087805 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087808 -        ..
087809 -       Date      260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
087810 -       Time       2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
087811 -       Hours        10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
087812 -       HR AVG       65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
087813 -       HR MAX      126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
087814 -       HR Min       38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
087815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087817 -              https://flow.polar.com/training/analysis/8383834222                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087819 -  ..
087820 - HRV seems  20% 0 and  40% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087823 -   
087824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087827 -  ..
087828 - Breakfast - cheerios peach milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087829 - Lunch - half sandwich roast beef onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087830 - Dinner - macaroni cheese steak onion brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087832 -  ..
087833 - Vomiting: 50% dinner - bloating PL 8 - 20% difficulty swallowing morning and evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087859 -         ..
087860 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087861 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087862 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087863 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087864 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087865 -  132.  260722 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087866 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087867 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
087868 -               0730....BP HR..................................................... 160  78  50  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087869 -               0735....BP HR..................................................... 174  80  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087870 -               0740....BP HR..................................................... 159  68  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087871 -               0745....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087872 -               0745....Magnesium 300 mg 1 Pill  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087873 -               0745....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
087874 -               0000...
087875 -  ..
087876 -               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                                                                                                                                                                                                                                                                                  
087877 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087878 -               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                                                                                                                                                                                                                                                                                                                                                                                   
087879 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087880 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087881 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087882 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087883 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087884 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087885 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087886 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087889 -  ..
087890 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087891 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087893 -  ..
087894 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087895 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087896 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087897 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087898 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087900 -  ..
087901 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087902 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087904 -  ..
087905 - Swallowing - had to eat very slow to allow food and liquid to seep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087906 - through LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087908 -  ..
087909 - Reflux woke up OA 0200 coughing with aspiration to clear lungs; slept                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087910 - in recliner chair after EGD dilation on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087916 -  ..
087917 - Kardia recorded HR 047 at 0800, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087918 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087919 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 ZJE1, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087920 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087921 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087922 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087923 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087926 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087927 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260722-ecg-080047_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087932 -  ..
087933 - Post hike HR profile beginning 2242, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087934 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087935 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087936 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087937 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087938 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087941 -        ..
087942 -       Date      260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
087943 -       Time       2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
087944 -       Hours         9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
087945 -       HR AVG       58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
087946 -       HR MAX       93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
087947 -       HR Min       35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
087948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087950 -              https://flow.polar.com/training/analysis/8384511824                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087952 -  ..
087953 - HRV seems  20% 0 and  20% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087956 -   
087957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087960 -  ..
087961 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087962 - Lunch - half sandwich roast beef onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087963 - Dinner - macaroni cheese steak onion brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087965 -  ..
087966 - Vomiting:  0% dinner - bloating PL 4 - 60% difficulty swallowing morning and evening at night aspirated in bed had to sleep in recliner chair                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087992 -         ..
087993 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087994 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087995 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087996 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087997 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087998 -  132.  260723 0700............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087999 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088000 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
088001 -               0720....BP HR..................................................... 173  78  60  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088002 -               0725....BP HR..................................................... 173  76  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088003 -               0730....BP HR..................................................... 147  80  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088004 -               0735....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088005 -               0735....Magnesium 300 mg 1 Pill  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088006 -               0735....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
088007 -               0000...
088008 -  ..
088009 -               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                                                                                                                                                                                                                                                                                  
088010 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088011 -               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                                                                                                                                                                                                                                                                                                                                                                                   
088012 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088013 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088014 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088015 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088016 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088017 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088018 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088019 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088022 -  ..
088023 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088024 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088026 -  ..
088027 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088028 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088029 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088030 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088031 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088033 -  ..
088034 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088035 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088037 -  ..
088038 - Swallowing - before starting hike difficult injesting medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088039 - pills with few bites avocado, mayonaise, margarine and peanut butter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088040 - After hike had to extend time to swallow food to several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088042 -  ..
088043 - Reflux slept in recliner chair last night, after EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088044 - 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088050 -  ..
088051 - Kardia recorded HR 055 at 0912, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088052 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088053 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 2TQZ, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088054 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088055 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088056 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088057 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088060 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088061 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260723-ecg-091231_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088065 -  ..
088066 - Post hike HR profile beginning 2022, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088067 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088068 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088069 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088070 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088071 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088074 -        ..
088075 -       Date      260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
088076 -       Time       2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
088077 -       Hours        11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
088078 -       HR AVG       63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
088079 -       HR MAX      114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
088080 -       HR Min       38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
088081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088083 -              https://flow.polar.com/training/analysis/8385170387                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088085 -  ..
088086 - HRV seems  10% 0 and  60% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088089 -   
088090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088093 -  ..
088094 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088095 - Lunch - half sandwich roast beef onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088096 - Dinner - steak brocolli asparagus cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088098 -  ..
088099 - Vomiting:  0% dinner - bloating PL 5 - 30% difficulty swallowing morning and evening at night did not aspirate in bed had to sleep in recliner chair                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088126 -         ..
088127 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088128 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088129 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088130 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088131 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088132 -  132.  260724 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088133 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088134 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
088135 -               0730....BP HR..................................................... 159  79  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088136 -               0735....BP HR..................................................... 175  77  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088137 -               0740....BP HR..................................................... 158  78  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088138 -               0745....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088139 -               1015....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088140 -               1015....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
088141 -               1015... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088142 -               1015....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088143 -               1015....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088144 -               1015....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088145 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088146 -               1030....Naproxen 500 mg took 1 pill cut in half to aid swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088147 -               1030... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088148 -               1030....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
088149 -               0000...
088150 -  ..
088151 -               1102....miles...........  12.0  12.0  191   191 minutes  temp  91 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088152 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088153 -               1247....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088154 -               1247....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088155 -               1247... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088156 -               1247... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088157 -               1247....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
088158 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088159 -               1247... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088160 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088161 -               1511... Hike ends mile 12... ref SDS 0 DB24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088162 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088163 -               1515....weight.................................... 182  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088164 -               1530....BP HR..................................................... 134  77 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088165 -               1539....BP HR..................................................... 131  74 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088166 -               1555....BP HR..................................................... 135  80 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088167 -               0000...
088168 -  ..
088169 -               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                                                                                                                                                                                                                                                                                  
088170 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088171 -               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                                                                                                                                                                                                                                                                                                                                                                                   
088172 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088173 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088174 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088175 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088176 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088177 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088178 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088179 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088182 -  ..
088183 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088184 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088186 -  ..
088187 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088188 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088189 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088190 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088191 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088193 -  ..
088194 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088195 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088197 -  ..
088198 - Swallowing - seems better today, eating more slowly.  Before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088199 - hike difficult injesting medication pills with few bites avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088200 - mayonaise, margarine and peanut butter.  After hike had to extend time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088201 - to swallow food to several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088203 -  ..
088204 - Reflux slept in bed; but had to get up about 0000 and sleep in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088205 - recliner chair for 2 more hours, then back in bed; after EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088206 - on 260421 0830. ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088209 -  ..
088210 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088211 - hydration and medications for hiking.  Temperature 91 degress makes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088212 - hike more difficult.  Skipped test hike around the block 1 mile.  Wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088213 - new Hoka model Gaviota 6 shoes larger size 11.5 extra wide seems less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088214 - traumatic than Bondi 9 size 10.5 extra wide.  Actually, seems like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088215 - Gaviota 6 shoes breakdown a little bit after 10 miles.  Wound from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088216 - peeling large callus from left foot #1 edge last week, not fully                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088217 - healed, applied bandage.  This was only partially successfu.  By mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088218 - 12, pain prevented completing planned 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088222 -         ..
088223 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088224 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088225 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 91 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
088226 -        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                                                                                                                                                                                                                                                                                                                                                                                         
088227 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088228 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088229 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088230 -        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                                                                                                                                                                                                                                                                                                                           
088231 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088232 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088233 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088234 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088235 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
088236 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088237 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
088238 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088239 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
088240 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088241 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088242 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088243 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088244 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
088245 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088246 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088247 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088248 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088249 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
088250 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088251 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088252 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088253 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088254 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088255 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088256 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088257 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088258 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088259 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088260 -        Metatarsalgia left foot...PRP 260403.........   2        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088261 -        Metatarsalgia right foot..PRP 260403.........   2        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088262 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088263 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
088264 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088265 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088266 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
088267 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
088268 -        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                                                                                                                                                                                                                                                                                                                           
088269 -        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                                                                                                                                                                                                                                                                                                                                                                                    
088270 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088271 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
088272 -        Callus big toe left foot...PRP 210705........   6         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
088273 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088274 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088275 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
088276 -        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                                                                                                                                                                                                                                                                                                                                           
088277 -        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                                                                                                                                                                                                                                                                                                                                           
088278 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088279 -        Callus little toe right foot..top of toe.....   0         60  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                                                                                                                                                                                                                                                                                                                                                                                      
088280 -        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                                                                                                                                                                                                                                                                                                                                                                                        
088281 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
088282 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
088283 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088284 -        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                                                                                                                                                                                                                                                                                                                                                              
088285 -        Callus little toe #5 left foot...PRP 210705..   0        100  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
088286 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
088287 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088288 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088289 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
088290 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088291 -        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                                                                                                                                                                                                                                                                                          
088292 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
088293 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088294 -        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                                                                                                                                                                                                                                                                                                                                                                               
088295 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088296 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088297 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088298 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088299 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088300 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088301 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088302 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
088303 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088304 -        Hiker's rash vasculitis.see 210618...........   1         80  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088308 -  ..
088309 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088310 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088311 - purchased on 260714 0931. ref SDS C6 IK1V  These shoes lack Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088312 - Ghost polyvinyl forefoot cover with woven gaps that provide elastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088313 - "give" to control lateral pressure and pain on forefeet by loosely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088314 - tightening the first three eyelets.  Gaviota 6 also have less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088315 - cushioning than Bondi 9s.  They are a size larger than 10.5 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088316 - hopefully cause less lateral on pressure both feet #1s and #5s than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088317 - has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088318 - more pressure bottom forefeet possibly causing increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088319 - metatarsalgia.  About mile 10 seemed like Gaviota 6 shoes began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088320 - losing control of feet, i.e., sliping sideways - could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088321 - imagination.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088323 -  ..
088324 - Callus Injuries - on 260719, large callus left foot #1 nearly came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088325 - completely loose, see above. ref SDS 0 9GSJ  Used Podiatry cutting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088326 - tool to fully remove it, after softening tissue in shower.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088327 - caused large wound that is still not completely healed.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088328 - treated with donut bandage and white tape.  PL 0-4 - 4 miles, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088329 - increased to PL 6 mile 8 to end of hike.  At end of hike bandage was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088330 - difficult to remove - very painful, should have soaked foot in shower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088331 - before removing bandage.  Also peeled callus with fingernail on edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088332 - left foot #5.  Eliminated pain entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088334 -  ..
088335 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088336 - ply Wrightsock socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088340 -  ..
088341 - Concord 12 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088342 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088343 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088344 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088345 - weeks.  Took 1 Naproxen 500 mg for pain management - since have not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088346 - hiked for 4 days, see Samsung GPS mileage below, ref SDS 0 PFSN, there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088347 - is no metatarsalgia pain in feet starting the hike today, and major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088348 - calluses #1s and #5s both feet have peeled loose past few days, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088349 - above. ref SDS 0 6D95  Took 4 Magnesium Complex 300 mg pills for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088350 - energy and absorbing lactic acid that together enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088351 - therapeutic miles that elevates HDL and EPCs, and extend telomeres.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088352 - Magnesium also reduces inflammation (though not significantly),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088353 - essential for HDL to increase, see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088354 - ref SDS 21 QP6L  Also took 2 CoQ10 capsules for energy, and took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088355 - Turmeric Curcumin 2250 mg pills that prevent inflammation, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088356 - enables HDL to rise.  Swallowed pills separately and whole combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088357 - with small amount avocado, mayonaise, peanut butter and margarine -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088358 - pills slip through LESV much better when swallowed combined with food.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088359 - About 20 minutes later after dressing for hike, before leaving house                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088360 - took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088361 - ref SDS 0 EJ8H  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088362 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088363 - study on 200101 0701. ref SDS 21 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088364 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088365 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088366 - fibrillation (arrhythmia - variable heart rate) see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088367 - 200101 0701. ref SDS 21 O33H  Did not take backpack to carry stuff -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088368 - good to build conditioning for Half Dome - because extra weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088369 - increases pressure on feet injuries.  Did not hike mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088370 - the block to start hike, which identifies bloating and feet wound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088371 - issues that can be treated back at the house before problems arise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088372 - miles from home.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088373 - Starting hike both feet less pressure reflecting switch to size 11.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088374 - shoes, per above. ref SDS 0 NXDB  Feet feeling less swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088375 - pins and needles - did not feel electrical shocks in balls of feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088376 - this morning due to peripheral neuropathy caused by statins, diabetes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088377 - and dysfunctional ANS.  Actually, these afflictions seem quiet the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088378 - past weeks.  Bottom of both feet minor metatarsalgia pain -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088379 - significant pain ( > 5 ) both feet #1 and #5 - has caused pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088380 - hiking for injuries to heal past 30 days, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088381 - 0701. ref SDS 21 BGZV  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088382 - dyspnea, indicating conditioning has sustained, despite minimal hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088383 - last few months.  Temperature started at 75, and reached 91.  West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088384 - wind 12 mph and mostly 6 mph, which was cooling.  Continued East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088385 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088386 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088387 - uphill, and very light traffic.  Hiked across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088388 - and back today.  Continued on Turtle Creek Road uphill 4% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088389 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088390 - on asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088391 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088392 - complex.  Did not stop at Lucky store to buy banana with potassium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088393 - that complements meds for energy, and makes swallowing meds easier,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088394 - because brought banana from home today.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088395 - traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088396 - good - did not need to stop at mile 4 time ____ in Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088397 - Pizza restaurant to take meds for energy to hike.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088398 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088399 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088400 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088401 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088402 - at Michigan Boulevard.  Hiked another .25 miles to Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088403 - and store.  At mile 5, turned left onto Pine Hollow.  Hiked East 0.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088404 - miles West to beyond Discovery Way.  Turned around hiking back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088405 - Ygnacio Valley Road.  Stopped at Chevron gas station store mile 6 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088406 - 1247 temp 85 and wind 09 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088407 - Kardia reported HR 110 Tachycardia, - see below. ref SDS 0 97WY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088408 - Bloating PL 5, both feet metatarsalgia PL 0.  Left foot #1 PL 2 (wound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088409 - injury peeling callus, per above. ref SDS 0 6D95), and #5 PL 0.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088410 - foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today, than past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088411 - weeks.  Took 1 Naproxen 500 mg total today 2 for pain.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088412 - Magnesium complex 300 mg pills - total today 8 - for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088413 - lactic acid, per research on 200101 0701. ref SDS 21 QP6L  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088414 - Turmeric Curcumin 2250 mg - total today 4 - to reduce inflammation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088415 - Took 2 CoQ10 pills - total today 4 - to increase energy.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088416 - softdrink purchased from Chev store for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088417 - nutrition - banana brought from home - enables swallowing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088418 - pills combined with bites of banana to slip through LESV now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088419 - contracted due to achalasia, pending dilation procedure scheduled on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088420 - 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088421 - continue hike.  Did not take Nuun electrolyte pill.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088422 - Pine Hollow 0.50 miles East.  Past Discovery Way turned around hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088423 - back to Ygnacio Valley Road.  Turned left onto Campus Drive hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088424 - mile West uphill 3% grade against wind 10 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088425 - Turned left heading West on Ygnacio Valley road .50 mile.  At mile 09,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088426 - hiked past Crystal Ranch Road, heading West on Ygnacio Valley road 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088427 - mile uphill 3% grade against wind 12 mph - temp 85.  At summit mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088428 - 10, turned around hiking back .50 mile.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088429 - heading North .5 mile downhill 5% grade with wide shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088430 - .5 mile no shoulder against heavy afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088431 - left onto Treat for .25 mile; turned right on Cunio and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088432 - hike mile 12 time 1511 temp 91, wind 11, bloating PL 4, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088433 - PL 4, feet metatarsalgia PL 2, left foot #1 edge PL 4, #5 edge PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088434 - right foot #1 PL 0, #5 PL 0, top #3, 4, 5 blistering PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088435 - sensation PL 0.  EKG sinus with mild artifact, Kardia reported HR 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088436 - Tachycardia - see below. ref SDS 0 DB24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088446 -  ..
088447 - Kardia recorded HR 048 at 0848, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088448 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088449 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 NIDO, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088450 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088451 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088452 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088453 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088456 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088458 - F:/05/00003/SM/CC/BNKG/000101cc/HR_260724-ecg-084852_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088464 -  ..
088465 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088466 - California, hike 12 miles with max temperature 85, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088467 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088469 - ..
088470 -                                                                                                                                                                                                                                                                                                              x
088471 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088472 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088473 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088474 -       Date          260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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  
088475 -       Miles            12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
088476 -       HR AVG          115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
088477 -         MAX           141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
088478 -         Min            76                                 77                   85                   77     70     91                          70     82                          81     64            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         
088479 -       El Climb Ft     390                                635                  605                  540    540    395                         115    604                         226    562           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         
088480 -       Temp Max         91                                 85                   88                   95     91     91                          76     80                          58     80            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         
088481 -       Wind Max         12                                 12                   12                   12     12     12                          20     15                          17     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         
088482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088485 -              https://flow.polar.com/training/analysis/8385392326                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088488 -               ..
088490 -   
088491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088495 -  ..
088496 - EKG at mile 06 time 1247, HR 110 temp 85, wind 09; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088497 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088498 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088501 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088502 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260724-ecg-124758_mile_06_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088506 -  ..
088507 - End hike EKG at mile 12, time 1511 HR 122 temp 91, wind 11 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088508 - reported Tachycardia... looks sinus mostly uniform with mild artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088509 - - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088512 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088513 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260724-ecg-151136_mile_12_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088519 -  ..
088520 - Post hike HR profile beginning 2231, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088521 - hiking 12 miles with temperature 91, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088522 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088523 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088524 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088525 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088528 -        ..
088529 -       Date      260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
088530 -       Time       2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
088531 -       Hours         9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
088532 -       HR AVG       59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
088533 -       HR MAX      117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
088534 -       HR Min       37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
088535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088537 -              https://flow.polar.com/training/analysis/8385802572                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088539 -  ..
088540 - HRV seems  10% 0 and  60% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088543 -   
088544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088547 -  ..
088548 - Breakfast - avocado peanut butter mayonaise margarine - few bites difficult to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088549 - Lunch - banana with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088550 - Dinner - eggs steak brocolli asparagus cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088552 -  ..
088553 - Vomiting:  0% dinner - bloating PL 4 - 30% difficulty swallowing morning and evening at night did not aspirate in bed had to sleep in recliner chair                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088581 -         ..
088582 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088583 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088584 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088585 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088586 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088587 -  132.  260725 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088588 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088589 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
088590 -               0720....BP HR..................................................... 159  55  43  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088591 -               0725....BP HR..................................................... 175  63  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088592 -               0730....BP HR..................................................... 151  68  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088593 -               0735....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088594 -               0735....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088595 -               0735....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
088596 -               0000...
088597 -  ..
088598 -               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                                                                                                                                                                                                                                                                                  
088599 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088600 -               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                                                                                                                                                                                                                                                                                                                                                                                   
088601 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088602 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088603 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088604 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088605 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088606 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088607 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088608 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088611 -  ..
088612 - Could not hike today, because another large section of callus came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088613 - loose on left foot #1, leaving a wound that needs to heal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088615 -  ..
088616 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088617 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088619 -  ..
088620 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088621 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088622 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088623 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088624 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088626 -  ..
088627 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088628 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088630 -  ..
088631 - Swallowing - seems better today, eating more slowly.  Before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088632 - hike difficult injesting medication pills with few bites avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088633 - mayonaise, margarine and peanut butter.  After hike had to extend time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088634 - to swallow food to several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088636 -  ..
088637 - Reflux slept in bed all night, after EGD dilation on 260421 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088638 - ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088644 -  ..
088645 - Kardia recorded HR 043 at 0907, Possible Atrial Fibrillatrion, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088646 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088647 - likely no AFL after hiking 12 miles temp 91 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088648 - ref SDS 0 EJ8H, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088649 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088650 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088651 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088652 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088655 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088656 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260725-ecg-090714_mile_00_043_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088662 -  ..
088663 - Post hike HR profile beginning 1957, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088664 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088665 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088666 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088667 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088668 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088671 -        ..
088672 -       Date      260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
088673 -       Time       1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
088674 -       Hours        12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
088675 -       HR AVG       64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
088676 -       HR MAX      116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
088677 -       HR Min       38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
088678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088680 -              https://flow.polar.com/training/analysis/8386438981                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088682 -  ..
088683 - HRV seems  20% 0 and  40% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088686 -   
088687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088690 -  ..
088691 - Breakfast - eggs toast cottage cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088692 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088693 - Dinner - steak brocolli asparagus cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088695 -  ..
088696 - Vomiting:  0% dinner - bloating PL 4 - 30% difficulty swallowing morning and evening at night did not aspirate in bed had to sleep in recliner chair                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088724 -         ..
088725 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088726 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088727 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088728 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088729 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088730 -  132.  260726 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088731 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088732 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
088733 -               0730....BP HR..................................................... 169  83  48  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088734 -               0735....BP HR..................................................... 193  86  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088735 -               0740....BP HR..................................................... 175  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088736 -               0745....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088737 -               0745....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088738 -               0745....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
088739 -               0000...
088740 -  ..
088741 -               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                                                                                                                                                                                                                                                                                  
088742 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088743 -               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                                                                                                                                                                                                                                                                                                                                                                                   
088744 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088745 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088746 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088747 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088748 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088749 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088750 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088751 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088754 -  ..
088755 - Could not hike today, because another large section of callus came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088756 - loose on left foot #1, leaving a wound still healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088758 -  ..
088759 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088760 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088762 -  ..
088763 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088764 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088765 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088766 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088767 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088769 -  ..
088770 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088771 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088773 -  ..
088774 - Swallowing - seems better today, eating more slowly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088776 -  ..
088777 - Reflux slept in bed all night, after EGD dilation on 260421 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088778 - ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088784 -  ..
088785 - Kardia recorded HR 049 at 0925, Possible Atrial Fibrillatrion, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088786 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088787 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088788 - ref SDS 0 6TCW, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088789 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088790 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088791 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088792 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088795 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088796 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260726-ecg-092525_mile_00_049_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088801 -  ..
088802 - Post hike HR profile beginning 1847, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088803 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088804 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088805 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088806 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088807 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088810 -        ..
088811 -       Date      260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
088812 -       Time       1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
088813 -       Hours         8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
088814 -       HR AVG       63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
088815 -       HR MAX       98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
088816 -       HR Min       39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
088817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088819 -              https://flow.polar.com/training/analysis/8386854563                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088821 -  ..
088822 - HRV seems   0% 0 and  40% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088825 -   
088826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088829 -  ..
088830 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088831 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088832 - Dinner - steak brocolli asparagus cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088834 -  ..
088835 - Vomiting:  0% dinner - bloating PL 5 - 30% difficulty swallowing - morning stomach pain felt like vomitting, but didn't                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088863 -         ..
088864 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088865 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088866 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088867 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088868 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088869 -  132.  260727 0310............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088870 -               0310....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088871 -               0325....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
088872 -               0330....BP HR..................................................... 161  77  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088873 -               0335....BP HR..................................................... 177  76  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088874 -               0340....BP HR..................................................... 160  75  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088875 -               0345....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088876 -               0535....Magnesium 300 mg 2 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088877 -               0535....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
088878 -               0535... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088879 -               0535....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088880 -               0535....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088881 -               0325....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088882 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088883 -               0535....Naproxen 500 mg took 1 pill cut in half to aid swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088884 -               0535... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088885 -               0535....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
088886 -               0000...
088887 -  ..
088888 -               0554....miles...........   6.0   6.0  100   100 minutes  temp  53 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088889 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088890 -               0000....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088891 -               0000....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088892 -               0000... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088893 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088894 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
088895 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088896 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088897 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088898 -               0700... Hike ends mile 06... ref SDS 0 ZHGF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088899 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088900 -               1515....weight.................................... 182  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088901 -               1530....BP HR..................................................... 134  77 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088902 -               1539....BP HR..................................................... 131  74 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088903 -               1555....BP HR..................................................... 135  80 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088904 -               0000...
088905 -  ..
088906 -               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                                                                                                                                                                                                                                                                                  
088907 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088908 -               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                                                                                                                                                                                                                                                                                                                                                                                   
088909 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088910 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088911 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088912 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088913 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088914 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088915 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088916 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088919 -  ..
088920 - Could not hike today, because another large section of callus came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088921 - loose on left foot #1, leaving a wound still healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088923 -  ..
088924 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088925 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088927 -  ..
088928 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088929 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088930 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088931 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088932 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088934 -  ..
088935 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088936 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088938 -  ..
088939 - Swallowing - seems better today, eating more slowly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088941 -  ..
088942 - Reflux slept in bed all night, after EGD dilation on 260421 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088943 - ref SDS C2 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088946 -  ..
088947 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088948 - hydration and medications for hiking.  Temperature 53 degress wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088949 - made hike less difficult.  This was minimal hike to test healing of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088950 - wound on left foot #1 edge and wrapping benath toe, after peeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088951 - large callus on 260725, per above. ref SDS 0 TI2H  After taking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088952 - Naproxen 500 mg to start hike, there was PL 0 entire 4 miles.  Could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088953 - have gone further, but had to return in time for meeting with Primary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088954 - Care in Medical practice at 0730.  Wore new Hoka model Gaviota 6 shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088955 - larger size 11.5 extra wide seems less traumatic than Bondi 9 size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088956 - 10.5 extra wide.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088960 -         ..
088961 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088962 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088963 -        Stomach pain bloating - unstable ANS.........   5         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 08 miles, but increased by end of hike; temp 91 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
088964 -        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                                                                                                                                                                                                                                                                                                                                                                                         
088965 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088966 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088967 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088968 -        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                                                                                                                                                                                                                                                                                                                           
088969 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088970 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088971 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088972 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088973 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
088974 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088975 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
088976 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088977 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
088978 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088979 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088980 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088981 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088982 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
088983 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088984 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088985 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088986 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088987 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
088988 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088989 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088990 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088991 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088992 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088993 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088994 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088995 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088996 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088997 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088998 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088999 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089000 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089001 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
089002 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089003 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089004 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
089005 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
089006 -        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                                                                                                                                                                                                                                                                                                                           
089007 -        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                                                                                                                                                                                                                                                                                                                                                                                    
089008 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089009 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
089010 -        Callus big toe left foot...PRP 210705........   0         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
089011 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089012 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089013 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
089014 -        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                                                                                                                                                                                                                                                                                                                                           
089015 -        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                                                                                                                                                                                                                                                                                                                                           
089016 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089017 -        Callus little toe right foot..top of toe.....   0         60  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                                                                                                                                                                                                                                                                                                                                                                                      
089018 -        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                                                                                                                                                                                                                                                                                                                                                                                        
089019 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
089020 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
089021 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089022 -        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                                                                                                                                                                                                                                                                                                                                                              
089023 -        Callus little toe #5 left foot...PRP 210705..   0        100  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
089024 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
089025 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089026 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089027 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
089028 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089029 -        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                                                                                                                                                                                                                                                                                          
089030 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
089031 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089032 -        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                                                                                                                                                                                                                                                                                                                                                                               
089033 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089034 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089035 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089036 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089037 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089038 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089039 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089040 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
089041 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089042 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089046 -  ..
089047 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089048 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089049 - purchased on 260714 0931. ref SDS C6 IK1V  These shoes lack Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089050 - Ghost polyvinyl forefoot cover with woven gaps that provide elastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089051 - "give" to control lateral pressure and pain on forefeet by loosely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089052 - tightening the first three eyelets.  Gaviota 6 also have less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089053 - cushioning than Bondi 9s.  They are a size larger than 10.5 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089054 - hopefully cause less lateral on pressure both feet #1s and #5s than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089055 - has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089056 - more pressure bottom forefeet possibly causing increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089057 - metatarsalgia.  Hike ended at mile 4, so Gaviota 6 shoes did not begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089058 - losing control of feet, i.e., sliping sideways - could be imagination,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089059 - as occurred on 12 mile hike 260724, per above. ref SDS 0 SBAT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089061 -  ..
089062 - Callus Injuries - have peeled large sections of callus on left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089063 - edge and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089064 - PL 0 entire hike, though only 4 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089066 -  ..
089067 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089068 - single ply wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089072 -  ..
089073 - San Francisco 4 mile route, reported on 170519, ref SDS 9 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089074 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089075 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089076 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089077 - and also left hip. ref SDS 0 DHWP  Before starting hike at hospital,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089078 - took 1 Naproxen 500 mg, for pain management, and took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089079 - Complex 300 mg pills for energy; and to absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089080 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089081 - together with EPCs regress plaque in blood vessels, see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089082 - 200101 0701, ref SDS 21 QP6L  Also took 1 COQ10 pill for energy - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089083 - not difficult swallowing these large pills whole, recommended by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089084 - manufacturer, because swallowed with food, and despite EGD has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089085 - been dilated LESV since 260421 0830, ref SDS C2 UN5Q, see report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089086 - clogging LESV on 240824. ref SDS 39 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089087 - butter and margarine, and Mayonnaise, and had some avocado for HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089088 - ...and took 5 ml liquid Ubiquinol CoQ10 - all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089089 - 9PQG  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089090 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089091 - study on 200101 0701. ref SDS 21 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089092 - feeling, but still bloated starting hike today, from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089093 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089094 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089095 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089096 - nervous system (see analysis on 250114 1202, ref SDS 73 PQ5Y).  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089097 - not Take backpack to carry stuff because extra weight increases damage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089098 - and pain to feet injuries.  Temperature mild 53 and strong Southerly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089099 - wind 15 mph.  Departed VAMCSF campus starting to get light at 0554.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089100 - Hiked slowly downhill on 42nd Street to warm up.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089101 - heading downhill West on Point Lobos to Cliff House at mile 1.  Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089102 - bends and changes to "Great Highway" going South along ocean beach.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089103 - Pace picked up as CoQ10 and magnesium was digested and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089104 - strength.  At mile 2, turned onto John F Kennedy (JFK) Drive entering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089105 - Golden Gate Park.  Decided to turn around and head back because this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089106 - was a test to evaluate recovery from wound on left foot #1 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089107 - removing 2nd piece of edge callus that wraps onto bottom of toe, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089108 - occurred 2 days ago on 260725, per above. ref SDS 0 TI2H  At ocean,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089109 - turned North onto Great Highway.  Hiked parallel to Ocean Beach toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089110 - the Cliff House and hospital.  Halfway to Cliff House had liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089111 - for energy.  Pace slowed hiking up steep hill - 5% - 9% grade - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089112 - not stop.  About mile 3 breathing through mouth - dyspnea - today, At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089113 - the Cliff House, turned onto Point Lobos Avenue going East; hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089114 - uphill for 1 mile.  Mile 3.5 breathing through nose again.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089115 - onto 42nd street and hiked up final hill to the VA campus.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089116 - mile 04, time 0700 temp 58, wind 12, bloating PL 5, energy deficit PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089117 - 4, feet metatarsalgia PL 0, burning sensation PL 0, left foot #1 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089118 - #5 PL 0.  Right foot #5 PL 0, and #1 PL 0.  EKG variable with mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089119 - artifact, Kardia reported HR 111 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089120 - ZHGF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089130 -  ..
089131 - Kardia recorded HR 044 at 0334, Possible Atrial Fibrillatrion, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089132 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089133 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089134 - ref SDS 0 B4XH, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089135 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089136 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089137 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089138 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089141 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089142 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260727-ecg-033445_mile_00_044_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089148 -  ..
089149 - Polar HR GPS study *** low accuracy GPS used *** in San Francisco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089150 - California, hike 04 miles with max temperature 58, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089151 - case study on 200101 0701. ref SDS 21 118K  After the hike continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089152 - walking another 2 miles through the hospital going to Podiatry,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089153 - Cardiology, the lab, Medical Practice, back to Podiatry, back to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089154 - lab, and then to the car in the parking lot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089156 - ..
089157 -                                                                                                                                                                                                                                                                                                              x
089158 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089159 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089160 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089161 -       Date          260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25031  
089162 -       Miles             6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
089163 -       HR AVG          118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
089164 -         MAX           141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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   repo  
089165 -         Min            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            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         
089166 -       El Climb Ft     325                  390                                635                  605                  540    540    395                         115    604                         226    562           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         
089167 -       Temp Max         59                   91                                 85                   88                   95     91     91                          76     80                          58     80            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         
089168 -       Wind Max         18                   12                                 12                   12                   12     12     12                          20     15                          17     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         
089169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089172 -              https://flow.polar.com/training/analysis/8387160007                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089175 -               ..
089177 -   
089178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089182 -  ..
089183 - End hike EKG at mile 04, time 0700 HR 122 temp 53, wind 15 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089184 - reported Tachycardia... looks sinus mostly uniform with mild artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089185 - - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089188 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089189 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260727-ecg-070023_mile_04_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089192 -  ..
089193 - After the hike continued walking another 2 miles through the hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089194 - going to Podiatry, Cardiology, the lab, Medical Practice, back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089195 - Podiatry, back to the lab, and then to the car in the parking lot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089199 -  ..
089200 - Post hike HR profile beginning 2026, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089201 - hiking 06 miles with temperature 63, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089202 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089203 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089204 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089205 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089208 -        ..
089209 -       Date      260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
089210 -       Time       2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
089211 -       Hours        11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
089212 -       HR AVG       57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
089213 -       HR MAX      100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
089214 -       HR Min       35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
089215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089217 -              https://flow.polar.com/training/analysis/8387671222                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089219 -  ..
089220 - HRV seems   0% 0 and  50% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089223 -   
089224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089227 -  ..
089228 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds before hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089229 - Lunch - half sandwich roast beef onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089230 - Dinner - steak brocolli asparagus cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089232 -  ..
089233 - Vomiting:  0% dinner - bloating PL 5 - 30% difficulty swallowing - morning stomach pain felt like vomitting, but didn't                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089261 -         ..
089262 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089263 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089264 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089265 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089266 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089267 -  132.  260728 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089268 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089269 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
089270 -               0725....BP HR..................................................... 155  74  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089271 -               0730....BP HR..................................................... 156  69  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089272 -               0735....BP HR..................................................... 152  61  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089273 -               0740....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089274 -               0735....Magnesium 300 mg 2 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089275 -               0735....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
089276 -               0000...
089277 -  ..
089278 -               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                                                                                                                                                                                                                                                                                  
089279 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089280 -               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                                                                                                                                                                                                                                                                                                                                                                                   
089281 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089282 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089283 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089284 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089285 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089286 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089287 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089288 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089291 -  ..
089292 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089293 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089295 -  ..
089296 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089297 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089298 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089299 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089300 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089302 -  ..
089303 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089304 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089306 -  ..
089307 - Swallowing - seems better today, eating more slowly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089309 -  ..
089310 - Reflux slept in bed, but woke up aspirating OA 0430; tried sleeping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089311 - in recliner chair, had to get up and work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089317 -  ..
089318 - Kardia recorded HR 044 at 0942, Possible Atrial Fibrillatrion, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089319 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089320 - likely no AFL after hiking 04 miles temp 53 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089321 - ref SDS 0 9PQG, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089322 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089323 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089324 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089325 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089328 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089329 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260728-ecg-094244_mile_00_063_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089334 -  ..
089335 - Post hike HR profile beginning 2014, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089336 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089337 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089338 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089339 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089340 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089343 -        ..
089344 -       Date      260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
089345 -       Time       2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
089346 -       Hours         8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
089347 -       HR AVG       63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
089348 -       HR MAX      108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
089349 -       HR Min       38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
089350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089352 -              https://flow.polar.com/training/analysis/8388296177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089354 -  ..
089355 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089358 -   
089359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089362 -  ..
089363 - Breakfast - eggs roast beef onion toast avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089364 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089365 - Dinner - steak brocolli asparagus cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089367 -  ..
089368 - Vomiting:  0% dinner - bloating PL 6 - 30% aspirited had to get up OA 0430 - didn't vomit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089397 -         ..
089398 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089399 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089400 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089401 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089402 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089403 -  132.  260729 0450............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089404 -               0500....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089405 -               0510....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
089406 -               0515....BP HR..................................................... 179  69  48  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089407 -               0520....BP HR..................................................... 184  74  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089408 -               0525....BP HR..................................................... 175  79  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089409 -               0530....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089410 -               0605....Magnesium 300 mg 2 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089411 -               0605....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
089412 -               0605... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089413 -               0605....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089414 -               0605....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089415 -               0605....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089416 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089417 -               0635....Naproxen 500 mg took 1 pill cut in half to aid swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089418 -               0635... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089419 -               0635....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
089420 -               0000...
089421 -  ..
089422 -               0642....miles...........  17.0  23.0  274   374 minutes  temp  85 wind 11  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089423 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089424 -               0000....mile 06 stopped EKG ... banana potassium and aids swallowing medication pills slip through contracted LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089425 -               0000....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089426 -               0000... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089427 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089428 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
089429 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089430 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089431 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089432 -               1137... Hike ends mile 17... ref SDS 0 ZHGF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089433 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089434 -               1215....weight.................................... 182  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089435 -               1220....BP HR..................................................... 127  84 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089436 -               1226....BP HR..................................................... 147  77  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089437 -               1555....BP HR..................................................... 118  82  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089438 -               0000...
089439 -  ..
089440 -               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                                                                                                                                                                                                                                                                                  
089441 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089442 -               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                                                                                                                                                                                                                                                                                                                                                                                   
089443 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089444 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089445 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089446 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089447 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089448 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089449 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089450 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089453 -  ..
089454 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089455 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089457 -  ..
089458 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089459 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089460 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089461 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089462 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089464 -  ..
089465 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089466 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089468 -  ..
089469 - Swallowing - difficult - must eat very slowly, plenty liquid.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089471 -  ..
089472 - Reflux slept in bed initially, aspirated OA 0430, tried sleeping in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089473 - recliner chair, got up and started work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089477 -  ..
089478 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089479 - hydration and medications for hiking, due to rising achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089480 - swallowing deficit, with aspiration, reported to Doctor Lee through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089481 - Gracie on 260716, requesting consideration for overbook to perform EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089482 - dilaiton on overbook before scheduled procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089483 - Leaving at 0642, temperature 54 wind 08 much cooler made hike less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089484 - difficult.  Hike tested mostly successful new orthotic Powerstep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089485 - inserts received from VA 2 days ago, see, 260727 0900, ref SDS C8 ZID2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089486 - paired with Hoka Graviota 6 shoes there was minimal pain on edges of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089487 - #1s and #5s; however, the top of right foot #4 and #5 reached PL 4 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089488 - end of hike.  Started hike early this morning in order finish early to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089489 - sleep by OA 2000, to get up at 0100 tomorrow and drive back to VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089490 - starting hike through park OA 0300, and return by 0700 in time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089491 - enter the record and prepare for meeting with Doctor Tang at 0900 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089492 - Podiatry.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089495 -         ..
089496 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089497 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089498 -        Stomach pain bloating - unstable ANS.........   6         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 08 miles, but increased by end of hike; temp 91 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
089499 -        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                                                                                                                                                                                                                                                                                                                                                                                         
089500 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089501 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089502 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089503 -        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                                                                                                                                                                                                                                                                                                                           
089504 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089505 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089506 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089507 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089508 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
089509 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089510 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
089511 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089512 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
089513 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089514 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089515 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089516 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089517 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
089518 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089519 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089520 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089521 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089522 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
089523 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089524 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089525 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089526 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089527 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089528 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089529 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089530 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089531 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089532 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089533 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089534 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089535 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089536 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
089537 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089538 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089539 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
089540 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
089541 -        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                                                                                                                                                                                                                                                                                                                           
089542 -        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                                                                                                                                                                                                                                                                                                                                                                                    
089543 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089544 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
089545 -        Callus big toe left foot...PRP 210705........   0        100  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
089546 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089547 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089548 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
089549 -        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                                                                                                                                                                                                                                                                                                                                           
089550 -        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                                                                                                                                                                                                                                                                                                                                           
089551 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089552 -        Callus little toe right foot..top of toe.....   3         40  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                                                                                                                                                                                                                                                                                                                                                                                      
089553 -        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                                                                                                                                                                                                                                                                                                                                                                                        
089554 -        Callus ring toe #4 top right foot............   3         40  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
089555 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
089556 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089557 -        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                                                                                                                                                                                                                                                                                                                                                              
089558 -        Callus little toe #5 left foot...PRP 210705..   0        100  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
089559 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
089560 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089561 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089562 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
089563 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089564 -        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                                                                                                                                                                                                                                                                                          
089565 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
089566 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089567 -        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                                                                                                                                                                                                                                                                                                                                                                               
089568 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089569 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089570 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089571 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089572 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089573 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089574 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089575 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
089576 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089577 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089581 -  ..
089582 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089583 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089584 - purchased on 260714 0931. ref SDS C6 IK1V  These shoes lack Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089585 - Ghost polyvinyl forefoot cover with woven gaps that provide elastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089586 - "give" to control lateral pressure and pain on forefeet by loosely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089587 - tightening the first three eyelets.  Gaviota 6 also have less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089588 - cushioning than Bondi 9s.  They are a size larger than 10.5 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089589 - hopefully cause less lateral on pressure both feet #1s and #5s than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089590 - has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089591 - more pressure bottom forefeet possibly causing increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089592 - metatarsalgia.  Hike ended at mile 17; Gaviota 6 shoes did not begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089593 - losing control of feet, i.e., sliping sideways.  There was pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089594 - top of left and right foot #4 and #5, mostly on right foot.  Might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089595 - due to new Powerstep orthotic inserts received from Doctor Hewitson at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089596 - VA Podiatry yesterday.  Today, wore the set with more padding, see the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089597 - record on 260727 0900. ref SDS C8 ZID2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089599 -  ..
089600 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089601 - with more padding to transfer load from forefeet to instep arch.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089603 -  ..
089604 - Callus Injuries - have peeled large sections of callus on left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089605 - edge and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089606 - PL 0 entire hike, though only 4 miles.  For first time in a long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089607 - time, there was no evident lateral pressure on #1s and #5s, though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089608 - the top of #4 and #5 on right foot suffered PL 3, maybe PL #1 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089609 - foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089611 -  ..
089612 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089613 - single ply wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089617 -  ..
089618 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089619 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089620 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089621 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089622 - weeks.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089623 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089624 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089625 - Podiatry on 260702 0830. ref SDS C4 5H6F  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089626 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089627 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089628 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089629 - ref SDS 21 QP6L  Also took 2 CoQ10 capsules for energy, and took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089630 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089631 - rise.  Swallowed pills separately and whole combined with small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089632 - avocado, mayonaise, peanut butter and margarine - pills slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089633 - LESV much better when swallowed combined with chewed up food in mouth.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089634 - About 20 minutes later after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089635 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 EJ7I  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089636 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089637 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089638 - ref SDS 21 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089639 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089640 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089641 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089642 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089643 - Half Dome - because extra weight increases pressure on feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089644 - Now that feet injuries are on the wane, may resume taking backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089645 - after another few hikes.  Did not hike the mile loop around the block                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089646 - to start hike, which identifies bloating and feet wound issues that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089647 - can be treated back at the house before problems arise miles from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089648 - home.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089649 - hike feet feeling less swelled and like pins and needles - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089650 - feel electrical shocks in balls of feet this morning due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089651 - neuropathy caused by statins, diabetes, and dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089652 - Actually, these afflictions seem quiet the past week or so.  Bottom of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089653 - both feet minor metatarsalgia pain - significant pain ( > 5 ) both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089654 - feet #1 and #5 has caused pausing hiking for injuries to heal past 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089655 - days, see case study on 200101 0701. ref SDS 21 BGZV  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089656 - nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089657 - sustained, despite minimal hiking last few months.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089658 - started at 65, and reached 85.  East wind 11 mph and mostly 8 mph,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089659 - which was cooling.  Continued East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089660 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089661 - mostly flat grade, some places 3% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089662 - not hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089663 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089664 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089665 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089666 - asphalt pavement in parking lots of shopping complex.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089667 - Lucky store to buy banana with potassium that complements meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089668 - energy, and makes swallowing meds easier, because brought banana from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089669 - house today.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089670 - concrete sidewalk .5 miles.  Energy good - did not need to stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089671 - mile 4 time ____ in Mountain Mike's Pizza restaurant to take meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089672 - energy to hike.  Turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089673 - concrete sidewalk .5 miles.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089674 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089675 - Morning commute traffic very heavy, with higher risks.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089676 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089677 - West past Stop Light at Michigan Boulevard.  Hiked another .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089678 - to Chevron gas station and store.  At mile 6, turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089679 - Hollow.  Hiked East 1 mile and turned around at Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089680 - Hiked back to Ygnacio Valley Road.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089681 - hiking 1 mile West uphill 3% grade against wind 08 mph.  The road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089682 - bends North.  Turned left heading West on Ygnacio Valley road .50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089683 - mile.  At Crystal Ranch Road, turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089684 - onto Campus Drive again and hiked uphill 4% grade .3 mile.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089685 - Visitor Parking California State University East Bay Concord Campus -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089686 - mile 12.  Hiked 4 loops around main buildings - used exercise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089687 - equipment at back of buildings to do 20 partial pullups and pushups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089688 - each pass.  On 1st loop saw Lisa briefly to say hello, while she was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089689 - setting up to take picture of dogs she walked today at the college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089690 - Back at Visitor Parking mile 12, left the college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089691 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089692 - Hiked West on flat grade .5 miles.  At mile 13, turned South onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089693 - Crystal Ranch Road hiking uphill 5% grade.  After .25 mile turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089694 - around and hiked back.  Turned left heading West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089695 - road 1 mile uphill 3% grade against wind 12 mph - temp 85.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089696 - turned around and hiked .5 mile back to Cowell.  Turned left going 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089697 - mile downhill, including .25 mile with no shoulder separating vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089698 - traffic.  Turned left onto Treat for .25 mile; turned right on Cunio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089699 - and home.  Ended hike mile 17 time 1137 temp 85, wind 11, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089700 - 6, energy deficit 2, feet metatarsalgia PL 2, left foot #1 edge PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089701 - #5 edge PL 0, right foot #1 PL 0, #5 PL 4, top #3, #4 blistering PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089702 - burning sensation PL 0.  EKG sinus with moderate artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089703 - reported HR 118 Tachycardia - see below. ref SDS 0 OPDZ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089713 -  ..
089714 - Kardia recorded HR 044 at 0519, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089715 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089716 - after hiking 00 miles temp __ yesterday, per above, ref SDS 0 L2ZN,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089717 - and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089718 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089719 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089720 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089723 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089724 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260729-ecg-051910_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089730 -  ..
089731 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089732 - California, hike 17 miles with max temperature 85, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089733 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089735 - ..
089736 -                                                                                                                                                                                                                                                                                                              x
089737 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089738 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089739 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089740 -       Date          260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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  
089741 -       Miles            17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
089742 -       HR AVG          117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
089743 -         MAX           139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
089744 -         Min            68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            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                
089745 -       El Climb Ft     480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           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                
089746 -       Temp Max         85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            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                
089747 -       Wind Max         11            18                   12                                 12                   12                   12     12     12                          20     15                          17     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                
089748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089751 -              https://flow.polar.com/training/analysis/8388582821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089754 -               ..
089756 -   
089757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089761 -  ..
089762 - End hike EKG at mile 17, time 1137 HR 122 temp 53, wind 15 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089763 - reported Tachycardia... looks sinus mostly uniform with moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089764 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089767 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089768 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260729-ecg-113734_mile_17_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089774 -  ..
089775 - Post hike HR profile beginning 1954, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089776 - hiking 17 miles with temperature 85, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089777 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089778 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089779 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089780 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089783 -        ..
089784 -       Date      260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
089785 -       Time       1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
089786 -       Hours         6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
089787 -       HR AVG       60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
089788 -       HR MAX      112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
089789 -       HR Min       39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
089790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089792 -              https://flow.polar.com/training/analysis/8388876937                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089794 -  ..
089795 - HRV seems  10% 0 and  60% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089798 -   
089799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089802 -  ..
089803 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089804 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089805 - Dinner - steak brocolli asparagus cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089807 -  ..
089808 - Vomiting:  0% dinner - bloating PL 6 - 30% aspirited had to get up OA 0430 - didn't vomit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089837 -         ..
089838 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089839 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089840 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089841 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089842 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089843 -  132.  260730 0210............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089844 -               0210....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089845 -               0215....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
089846 -               0220....BP HR..................................................... 159  89  57  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089847 -               0225....BP HR..................................................... 156  90  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089848 -               0230....BP HR..................................................... 168  60  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089849 -               0235....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089850 -               0405....Magnesium 300 mg 2 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089851 -               0405....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
089852 -               0405... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089853 -               0405....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089854 -               0405....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089855 -               0405....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089856 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089857 -               0435....Naproxen 500 mg took 1 pill cut in half to aid swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089858 -               0435... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089859 -               0435....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
089860 -               0000...
089861 -  ..
089862 -               0435....miles...........  11.0  44.0  180   554 minutes  temp  58 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089863 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089864 -               0600....mile 06 stopped EKG ...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089865 -               0000....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089866 -               0600... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089867 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
089868 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089869 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089870 -               0000... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089871 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089872 -               0736... Hike ends mile 11... ref SDS 0 ECRH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089873 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089874 -               0747....weight.................................... 184  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089875 -               0750....BP HR..................................................... 142  62 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089876 -               0755....BP HR..................................................... 138  67 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089877 -               0800....BP HR..................................................... 144  72  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089878 -               0000...
089879 -  ..
089880 -               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                                                                                                                                                                                                                                                                                  
089881 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089882 -               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                                                                                                                                                                                                                                                                                                                                                                                   
089883 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089884 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089885 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089886 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089887 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089888 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089889 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089890 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089893 -  ..
089894 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089895 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089897 -  ..
089898 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089899 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089900 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089901 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089902 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089904 -  ..
089905 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089906 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089908 -  ..
089909 - Swallowing - difficult - must eat very slowly, plenty liquid.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089911 -  ..
089912 - Reflux slept in bed initially, aspirated OA 0430, tried sleeping in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089913 - recliner chair, got up and started work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089917 -  ..
089918 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089919 - hydration and medications for hiking, due to rising achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089920 - swallowing deficit, with aspiration.  Only hiked to De Young - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089921 - around at mile 6, instead of on Stanyon, because started an hour late                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089922 - in order to sleep until 0200.  Hiked back uphill on Great Highway to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089923 - Cliff House and then on Point Lobos back to hospital went better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089924 - on Monday - breathing through mouth maybe 20% less today, so slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089925 - improvement.  Hiking with new orthotic inserts received from Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089926 - Hewitson on 260727, with Hoka Gaviota 6 shoes caused minimal lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089927 - pressure on edges of #1s and #5s, with moderate pressure on top of #4s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089928 - and #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089932 -         ..
089933 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089934 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089935 -        Stomach pain bloating - unstable ANS.........   6         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 08 miles, but increased by end of hike; temp 91 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
089936 -        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                                                                                                                                                                                                                                                                                                                                                                                         
089937 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089938 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089939 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089940 -        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                                                                                                                                                                                                                                                                                                                           
089941 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089942 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089943 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089944 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089945 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
089946 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089947 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
089948 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089949 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
089950 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089951 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089952 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089953 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089954 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                         
089955 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089956 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089957 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089958 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089959 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
089960 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089961 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089962 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089963 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089964 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089965 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089966 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089967 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089968 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089969 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089970 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089971 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089972 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089973 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
089974 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089975 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089976 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
089977 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
089978 -        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                                                                                                                                                                                                                                                                                                                           
089979 -        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                                                                                                                                                                                                                                                                                                                                                                                    
089980 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089981 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
089982 -        Callus big toe left foot...PRP 210705........   0        100  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
089983 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089984 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089985 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
089986 -        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                                                                                                                                                                                                                                                                                                                                           
089987 -        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                                                                                                                                                                                                                                                                                                                                           
089988 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089989 -        Callus little toe right foot..top of toe.....   3         40  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                                                                                                                                                                                                                                                                                                                                                                                      
089990 -        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                                                                                                                                                                                                                                                                                                                                                                                        
089991 -        Callus ring toe #4 top right foot............   3         40  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
089992 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
089993 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089994 -        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                                                                                                                                                                                                                                                                                                                                                              
089995 -        Callus little toe #5 left foot...PRP 210705..   0        100  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
089996 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
089997 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089998 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089999 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
090000 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090001 -        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                                                                                                                                                                                                                                                                                          
090002 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
090003 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090004 -        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                                                                                                                                                                                                                                                                                                                                                                               
090005 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090006 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090007 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090008 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090009 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090010 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090011 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090012 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
090013 -        Wasted - very fatigued.......................   0        100  and 2 hours good speed last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090014 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090018 -  ..
090019 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090020 - experimented wearing new Hoka Gaviota 6 shoes size 11.5 width 4E,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090021 - purchased on 260714 0931. ref SDS C6 IK1V  These shoes lack Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090022 - Ghost polyvinyl forefoot cover with woven gaps that provide elastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090023 - "give" to control lateral pressure and pain on forefeet by loosely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090024 - tightening the first three eyelets.  Gaviota 6 also have less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090025 - cushioning than Bondi 9s.  They are a size larger than 10.5 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090026 - hopefully cause less lateral on pressure both feet #1s and #5s than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090027 - has been case for Brooks Ghost and Hoka Bondi 9s; but, maybe slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090028 - more pressure bottom forefeet possibly causing increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090029 - metatarsalgia.  Hike ended at mile 17; Gaviota 6 shoes did not begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090030 - losing control of feet, i.e., sliping sideways.  There was pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090031 - top of left and right foot #4 and #5, mostly on right foot.  Might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090032 - due to new Powerstep orthotic inserts received from Doctor Hewitson at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090033 - VA Podiatry yesterday.  Today, wore the set with more padding, see the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090034 - record on 260727 0900. ref SDS C8 ZID2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090036 -  ..
090037 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090038 - with more padding to transfer load from forefeet to instep arch.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090040 -  ..
090041 - Callus Injuries - have peeled large sections of callus on left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090042 - edge and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090043 - PL 0 entire hike, though only 4 miles.  For first time in a long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090044 - time, there was no evident lateral pressure on #1s and #5s, though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090045 - the top of #4 and #5 on right foot suffered PL 3, maybe PL #1 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090046 - foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090048 -  ..
090049 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090050 - single ply wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090054 -  ..
090055 - San Francisco 11 mile route, reported on 170519, ref SDS 9 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090056 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090057 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090058 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090059 - and also left hip. ref SDS 0 DHWP  Before starting hike at hospital,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090060 - took 1 Naproxen 500 mg, for pain management, and took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090061 - Complex 300 mg pills for energy; and to absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090062 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090063 - together with EPCs regress plaque in blood vessels, see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090064 - 200101 0701, ref SDS 21 QP6L  Also took 2 COQ10 pills for energy - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090065 - not difficult swallowing these large pills whole, recommended by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090066 - manufacturer, because swallowed with food, and despite EGD has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090067 - been dilated LESV since 260421 0830, ref SDS C2 UN5Q, see report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090068 - clogging LESV on 240824. ref SDS 39 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090069 - butter and margarine, and Mayonnaise, and had some avocado for HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090070 - ...and took 5 ml liquid Ubiquinol CoQ10 - all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090071 - YFSY CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090072 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090073 - 200101 0701. ref SDS 21 136K  No breakfast reduces bloating feeling,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090074 - but still bloated starting hike today, from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090075 - taking statins and other drugs, also symptomatic of diabetes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090076 - atrial fibrillation, and since 6th cardiac ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090077 - variable heart rate may occur from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090078 - system (see analysis on 250114 1202, ref SDS 73 PQ5Y).  Did not Take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090079 - backpack to carry stuff because extra weight increases damage and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090080 - to feet injuries.  Temperature mild 53 and strong Southerly wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090081 - mph.  Departed VAMCSF campus starting to get light at 0435.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090082 - slowly downhill on 42nd Street to warm up.  Turned corner heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090083 - downhill West on Point Lobos to Cliff House at mile 1.  Road bends and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090084 - changes to "Great Highway" going South along ocean beach.  Pace picked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090085 - up as CoQ10 and magnesium was digested and increased strength.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090086 - mile 2, turned onto John F Kennedy (JFK) Drive entering Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090087 - Park.  Maintained pace going slightly uphill into the park for .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090088 - mile.  Encountered early morning jogger going West but now much slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090089 - walking instead of jogging - just said hello.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090090 - continued East on JFK.  Dark and with few widely spaced street lights,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090091 - cannot see the road.  Passed Buffalo compound, then Spreckles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090092 - Hiked past Lindley Meadow.  Still nobody else in the park.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090093 - Helman Hollow.  Both feet pain level 0.  Hiked under bridge at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090094 - Crossover Drive (part of highway 1 that goes to Golden Gate Bridge). -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090095 - JFK is blocked to vehicle traffic the rest of the way through the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090096 - to Stanyon, limiting attendance to keep people separated that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090097 - minimizes spreading coronavirus, which was declared resolved 2 years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090098 - ago.  Stopped near De Young Museum at mile 6, time 0600, temp 57, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090099 - 06; EKG mostly uniform with minor artifact.  Kardia reported HR 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090100 - Tachycardia - see below. ref SDS 0 AK6D  Bloating PL 5, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090101 - PL 0, feet metatarsalgia PL 2, burning sensation PL 0, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090102 - 0 and #5 PL 0, right foot #1 PL 0, #5 top only PL 2, left knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090103 - and left hamstring PL 0.  Took 0 Naproxen.  Took 1 Magnesium.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090104 - CoQ10.  No sips softdrink carried from home for hydration, swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090105 - meds but not nutrition - peanut butter, margarine, Mayonnaise, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090106 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090107 - avocado for HDL, did not take Nuun electrolyte pill.  Took 5 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090108 - Ubiquinol liquid CoQ10, all per above. ref SDS 0 LIRW  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090109 - hiked back on JFK, heading West toward the Ocean.  Stayed on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090110 - side against traffic (no actual vehicle traffic in park).  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090111 - pace with magnesium kicking in and endorphins rising.  About mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090112 - Waterfall not running this morning before passing under Crossover Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090113 - bridge at highway 1.  Passed Hellman Hollow then Lindley Meadow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090114 - Spreckles Lake.  At ocean, turned North onto Great Highway.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090115 - parallel to Ocean Beach toward the Cliff House and hospital.  Halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090116 - to Cliff House had liquid CoQ10 for energy.  Pace slowed hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090117 - steep hill - 5% - 9% grade - did not stop.  About mile 9 breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090118 - through mouth - dyspnea - today, unlike yesterday breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090119 - nose hiking uphill on Crystal Ranch Road in Concord.  Reflects pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090120 - hiking past month that has degraded cardiovascular condition.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090121 - Cliff House, turned onto Point Lobos Avenue going East; hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090122 - for 1 mile.  Turned onto 42nd street and hiked up final hill to the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090123 - campus.  Ended hike mile 11, time 0736 temp 56, wind 12, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090124 - 5, energy deficit PL 3, feet metatarsalgia PL 3, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090125 - 2, left foot #1 PL 0, #5 PL 1.  Right foot #5 PL 3, and #1 PL 0.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090126 - uniform with moderate artifact, Kardia reported HR 115 Unclassified -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090127 - see below. ref SDS 0 ECRH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090139 -  ..
090140 - Kardia recorded HR 044 at 0227, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090141 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090142 - likely no AFL after hiking 17 miles temp 85 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090143 - ref SDS 0 EJ7I, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090144 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090145 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090146 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090147 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090150 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090151 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260730-ecg-022710_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090157 -  ..
090158 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090159 - California, hike 11 miles with max temperature 58, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090160 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090162 - ..
090163 -                                                                                                                                                                                                                                                                                                              x
090164 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090165 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090166 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090167 -       Date          260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25032  
090168 -       Miles            11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
090169 -       HR AVG          114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
090170 -         MAX           145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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   repo  
090171 -         Min            72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            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         
090172 -       El Climb Ft     590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           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         
090173 -       Temp Max         58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            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         
090174 -       Wind Max         12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     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         
090175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090178 -              https://flow.polar.com/training/analysis/8389201211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090181 -               ..
090183 -   
090184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090186 -  ..
090187 - Polar system kept recording for about 30 minutes after hike ended,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090188 - because forgot to stop the session.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090193 -  ..
090194 - EKG at mile 06 time 0600, HR 104 temp 53, wind 09; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090195 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090196 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090199 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090200 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260730-ecg-060031_mile_06_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090204 -  ..
090205 - End hike EKG at mile 11, time 0736 HR 115 temp 56, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090206 - reported Tachycardia... looks sinus mostly uniform with moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090207 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090210 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090211 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260730-ecg-073608_mile_11_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090217 -  ..
090218 - Post hike HR profile beginning 1955, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090219 - hiking 11 miles with temperature 58, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090220 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090221 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090222 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090223 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090226 -        ..
090227 -       Date      260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
090228 -       Time       1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
090229 -       Hours        12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
090230 -       HR AVG       62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
090231 -       HR MAX      108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
090232 -       HR Min       37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
090233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090235 -              https://flow.polar.com/training/analysis/8389703146                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090237 -  ..
090238 - HRV seems  40% 0 and  30% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090241 -   
090242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090245 -  ..
090246 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090247 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090248 - Dinner - steak brocolli asparagus cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090250 -  ..
090251 - Vomiting:  0% dinner - bloating PL 3 - no aspirating last noght - looks good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090280 -         ..
090281 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090282 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090283 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090284 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090285 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090286 -  132.  260731 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090287 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090288 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
090289 -               0720....BP HR..................................................... 165  78  64  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090290 -               0725....BP HR..................................................... 158  79  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090291 -               0730....BP HR..................................................... 178  84  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090292 -               0735....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090293 -               0805....Magnesium 300 mg 3 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090294 -               0805....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
090295 -               0805... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090296 -               0805....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090297 -               0805....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090298 -               0805....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090299 -               0840....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090300 -               0840... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090301 -               0840....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
090302 -               0000...
090303 -  ..
090304 -               1017....miles...........  15.0  59.0  246   800 minutes  temp  96 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090305 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090306 -               1216....mile 06 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090307 -               1216....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090308 -               1216... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090309 -               1216....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
090310 -               1216... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090311 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090312 -               1216... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090313 -               1216....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
090314 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090315 -               1510... Hike ends mile 15... ref SDS 0 7BXE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090316 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090317 -               1520....weight.................................... 181  lost  6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090318 -               1525....BP HR..................................................... 127  78 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090319 -               1530....BP HR..................................................... 111  71 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090320 -               1535....BP HR..................................................... 116  63 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090321 -               0000...
090322 -  ..
090323 -               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                                                                                                                                                                                                                                                                                  
090324 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090325 -               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                                                                                                                                                                                                                                                                                                                                                                                   
090326 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090327 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090328 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090329 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090330 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090331 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090332 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090333 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090336 -  ..
090337 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090338 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090340 -  ..
090341 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090342 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090343 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090344 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090345 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090347 -  ..
090348 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090349 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090351 -  ..
090352 - Swallowing - difficult - must eat very slowly, plenty liquid.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090354 -  ..
090355 - Reflux slept in bed initially, aspirated OA 0430, tried sleeping in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090356 - recliner chair, got up and started work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090360 -  ..
090361 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090362 - hydration and medications, due to bloating with aspiration.  Same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090363 - occurred stopping at mile 7, for EKG, meds and nutrition.  Tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090364 - omitting pain drugs starting hike, and this was successful.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090365 - through nose entire hike with no dyspnea and should continue with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090366 - hiking Crystal Ranch Road.  PL 0 entire hike wearing new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090367 - Glycerin 23 shoes received last night.  This morning, before hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090368 - 0 Naproxen 500 mg capsule; at mile 7 needed only 1 Naproxen.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090369 - lowest amount of pain medications needed for hiking in very many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090370 - years.  If this can be repeated will return hiking to therapeutic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090371 - levels recommended by Doctor Pellegrini (see her letter and discussion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090372 - on 250207 0941. ref SDS 76 PS49), and without inflammation that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090373 - enables HDL, EPCs and telomeres to rise, and restore sinus HR that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090374 - resolves cascading afflictions from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090375 - system (ANS).  Heat in 90s was major factor limiting hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090378 -         ..
090379 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090380 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090381 -        Stomach pain bloating - unstable ANS.........   8         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
090382 -        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                                                                                                                                                                                                                                                                                                                                                                                         
090383 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090384 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090385 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090386 -        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                                                                                                                                                                                                                                                                                                                           
090387 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090388 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090389 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090390 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090391 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
090392 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090393 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
090394 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090395 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
090396 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090397 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090398 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090399 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090400 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
090401 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090402 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090403 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090404 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090405 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
090406 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090407 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090408 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090409 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090410 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090411 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090412 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090413 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090414 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090415 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090416 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090417 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090418 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090419 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
090420 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090421 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090422 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
090423 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
090424 -        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                                                                                                                                                                                                                                                                                                                           
090425 -        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                                                                                                                                                                                                                                                                                                                                                                                    
090426 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090427 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
090428 -        Callus big toe left foot...PRP 210705........   0        100  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
090429 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090430 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090431 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
090432 -        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                                                                                                                                                                                                                                                                                                                                           
090433 -        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                                                                                                                                                                                                                                                                                                                                           
090434 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090435 -        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                                                                                                                                                                                                                                                                                                                                                                                      
090436 -        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                                                                                                                                                                                                                                                                                                                                                                                        
090437 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
090438 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
090439 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090440 -        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                                                                                                                                                                                                                                                                                                                                                              
090441 -        Callus little toe #5 left foot...PRP 210705..   0        100  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
090442 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
090443 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090444 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090445 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
090446 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090447 -        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                                                                                                                                                                                                                                                                                          
090448 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
090449 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090450 -        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                                                                                                                                                                                                                                                                                                                                                                               
090451 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090452 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090453 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090454 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090455 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090456 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090457 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090458 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
090459 -        Wasted - very fatigued.......................   7         20  last 4 miles heat reached 96, had to end hike at 15, rather than go over summit and reach 20+ miles.                                                                                                                                                                                                                                                                                                                                                                                                                                         
090460 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090464 -  ..
090465 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Switched to new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090466 - Brooks Glycerin 23 shoes size 11.5 width 4E, purchased on 260723 1217.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090467 - ref SDS C7 EQ7K and received yesterday.  Very good hike mostly PL 0 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090468 - feet over 15 miles.  Starting there was some pressure left foot edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090469 - #5, which resolved after about 3 miles.  Reduced pain profile might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090470 - due in part to new Powerstep orthotic inserts.  Did not take pain meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090471 - today starting hike.  Took 1 Naproxen 500 mg at mile 7; this is lowest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090472 - amount of pain medications needed for hiking in very many years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090474 -  ..
090475 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090476 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090477 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090478 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090480 -  ..
090481 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090482 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090483 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090484 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090485 - yesterday on 260730 0900. ref SDS C9 5A4I  Today, callus injuries PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090486 - during entire hike 15 miles - very favorable result of better shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090487 - and insets supported by expert care.  If this is repeated with hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090488 - restored to therapeutic levels in days, weeks, months ahead, then HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090489 - 51 reported on 260727, should recover > 60, along with EPCs and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090490 - telomeres that maintain good health, including recovery from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090491 - dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090493 -  ..
090494 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090495 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090499 -  ..
090500 - Concord 15 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090501 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090502 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090503 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090504 - weeks.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090505 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090506 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090507 - Podiatry on 260702 0830. ref SDS C4 5H6F  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090508 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090509 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090510 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090511 - ref SDS 21 QP6L  Also took 2 CoQ10 capsules for energy, and took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090512 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090513 - rise.  Swallowed pills separately and whole combined with small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090514 - avocado, mayonaise, peanut butter and margarine - pills slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090515 - LESV much better when swallowed combined with chewed up food in mouth.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090516 - About 20 minutes later after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090517 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 ICWP  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090518 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090519 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090520 - ref SDS 21 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090521 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090522 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090523 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090524 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090525 - Half Dome - because extra weight increases pressure on feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090526 - Now that feet injuries are on the wane, may resume taking backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090527 - after another few hikes.  Hiked mile loop around the block to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090528 - hike, which identifies bloating and feet wound issues that can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090529 - treated, before problems arise miles from home.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090530 - and turned left, onto Treat.  Starting hike feet feel less swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090531 - like pins and needles - did not feel electrical shocks in balls of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090532 - feet due to peripheral neuropathy caused by statins, diabetes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090533 - dysfunctional ANS.  These afflictions seem quiet the past weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090534 - Bottom of both feet minor metatarsalgia pain - significant pain ( > 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090535 - ) both feet #1 and #5 has caused pausing hiking for injuries to heal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090536 - past 60 days, see case study on 200101 0701. ref SDS 21 BGZV  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090537 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090538 - sustained, despite minimal hiking last few months, albeit have not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090539 - been hiking Crystal Ranch Road, dyspnea occurred yesterday hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090540 - uphill to Cliff House and on Point Lobos for .25 mile returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090541 - hospital.  Temperature started at 75, and reached 96.  East wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090542 - mph and mostly 8 mph, which was cooling at times; in fact heat was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090543 - debilitating last 4 miles.  Continued East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090544 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090545 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090546 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090547 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090548 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090549 - road shoulder.  At mile 4, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090550 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090551 - Stopped at Lucky store to buy banana with potassium that complements                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090552 - meds for energy, and aids swallowing meds to slip through tightening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090553 - LESV, pending EGD dilation on 269821.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090554 - light and continued on concrete sidewalk .5 miles.  Energy good - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090555 - not need to stop at mile 4 time ____ in Mountain Mike's Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090556 - restaurant to take meds for energy to hike.  Turned right going West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090557 - on Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090558 - past Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090559 - very narrow asphalt shoulder next to high risk heavy morning commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090560 - traffic.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090561 - shoulder past stop light at Michigan Boulevard.  Hiked another .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090562 - miles to Chevron gas station and store.  At mile 6, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090563 - Pine Hollow.  Hiked East .5 mile and turned around and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090564 - Ygnacio Valley Road.  Stopped at Chevron gas station store mile 7 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090565 - 1216 temp 91 and wind 10 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090566 - Kardia reported HR 121 Tachycardia, - see below. ref SDS 0 QX5P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090567 - Bloating PL 6, both feet metatarsalgia PL 0.  Left foot #1 PL 0 (wound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090568 - injury healed from peeling callus, per above. ref SDS 0 6D95), and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090569 - PL 2.  Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090570 - than past 3 weeks.  Took 1 Naproxen 500 mg total today 1 for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090571 - Took 4 Magnesium complex 300 mg pills - total today 8 - for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090572 - absorbing lactic acid, per research on 200101 0701. ref SDS 21 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090573 - Took 2 Turmeric Curcumin 2250 mg - total today 4 - to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090574 - inflammation.  Took 2 CoQ10 pills - total today 4 - to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090575 - energy.  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090576 - swallowing nutrition - banana purchased at Lucky store enables                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090577 - swallowing medication pills combined with bites of banana to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090578 - through LESV now contracted due to achalasia, pending dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090579 - procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090580 - HDL and energy to continue hike.  Did not take Nuun electrolyte pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090581 - Continued hike on Pine Hollow 0.26 miles East.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090582 - hiked back, then turned left onto Campus Drive hiking 1 mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090583 - uphill 3% grade against wind 10 mph.  The road bends North.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090584 - left heading West on Ygnacio Valley road .50 mile.  Temperature > 90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090585 - became a factor lowering hiking energy.  At Crystal Ranch Road, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090586 - around and hiked back.  Turned onto Campus Drive again and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090587 - uphill 4% grade .3 mile.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090588 - University East Bay Concord Campus - mile 10.  Hiked 3 loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090589 - main buildings - used exercise equipment at back of buildings to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090590 - partial pullups and pushups each pass.  Back at Visitor Parking mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090591 - 12, left the college heading North downhill on Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090592 - left onto Ygnacio Valley Road.  Heat > 94 increasing factor disipating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090593 - energy.  Hiked West on flat grade .5 miles.  Continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090594 - Ranch Road heading West on Ygnacio Valley road .5 mile uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090595 - against wind 12 mph - temp 96.  Not feeling well, decided not to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090596 - continue on up to summit.  Turned right 1 mile downhill, including .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090597 - mile with no shoulder separating commute traffic.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090598 - Treat for .25 mile; turned right on Cunio and home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090599 - 15 time 1510 temp 96, wind 12, bloating PL 5, energy deficit 4, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090600 - metatarsalgia PL 2, left foot #1 edge PL 0, #5 edge PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090601 - #1 PL 0, #5 PL 0, top #3, #4 blistering PL 0, burning sensation PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090602 - EKG sinus with minor artifact, Kardia reported HR 131 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090603 - see below. ref SDS 0 7BXE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090615 -  ..
090616 - Kardia recorded HR 064 at 0902, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090617 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090618 - likely no AFL after hiking 11 miles temp 57 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090619 - ref SDS 0 YFSY, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090620 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090621 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090622 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090623 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090626 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090627 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260731-ecg-090227_mile_00_064_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090633 -  ..
090634 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090635 - California, hike 15 miles with max temperature 96, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090636 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090637 - ..
090638 -                                                                                                                                                                                                                                                                                                              x
090639 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090640 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090641 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090642 -       Date          260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25032  
090643 -       Miles            15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
090644 -       HR AVG          123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
090645 -         MAX           143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
090646 -         Min            64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            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  
090647 -       El Climb Ft     410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           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  
090648 -       Temp Max         96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            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  
090649 -       Wind Max         12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     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  
090650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090652 -              https://flow.polar.com/training/analysis/8389938248                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090655 -               ..
090657 -   
090658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090664 -  ..
090665 - EKG at mile 07 time 1216, HR 121 temp 91, wind 10; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090666 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090667 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090670 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090671 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260731-ecg-121645_mile_07_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090675 -  ..
090676 - End hike EKG at mile 15, time 1510 HR 131 temp 96, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090677 - reported Tachycardia... looks like sinus mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090678 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090681 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090682 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260731-ecg-151049_mile_15_131_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090688 -  ..
090689 - Post hike HR profile beginning 2314, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090690 - hiking 15 miles with temperature 96, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090691 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090692 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090693 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090694 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090697 -        ..
090698 -       Date      260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
090699 -       Time       2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
090700 -       Hours         7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
090701 -       HR AVG       70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
090702 -       HR MAX      129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
090703 -       HR Min       40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
090704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090706 -              https://flow.polar.com/training/analysis/8390299537                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090708 -  ..
090709 - HRV seems  20% 0 and  50% good and  20% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090712 -   
090713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090716 -  ..
090717 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090718 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090719 - Dinner - hamburger brocolli asparagus cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090721 -  ..
090722 - Vomiting:  0% dinner - bloating PL 3 - no aspirating last noght - looks good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090751 -         ..
090752 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090753 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090754 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090755 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090756 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090757 -  132.  260801 0650............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090758 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090759 -               0655....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
090760 -               0700....BP HR..................................................... 163  86  49  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090761 -               0705....BP HR..................................................... 175  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090762 -               0710....BP HR..................................................... 167  82  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090763 -               0715....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090764 -               0905....Magnesium 300 mg 3 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090765 -               0905....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
090766 -               0905... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090767 -               0905....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090768 -               0905....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090769 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090770 -               0935....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090771 -               0935... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090772 -               0935....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
090773 -               0000...
090774 -  ..
090775 -               0847....miles...........  14.0  73.0  222  1022 minutes  temp  92 wind 09  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090776 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090777 -               1101....mile 08 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090778 -               1101....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090779 -               1101... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090780 -               1101... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090781 -               1101....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
090782 -               1101... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090783 -               1101... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090784 -               1101....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
090785 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090786 -               1323... Hike ends mile 14... ref SDS 0 DZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090787 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090788 -               1330....weight.................................... 183  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090789 -               1340....BP HR..................................................... 135  77  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090790 -               1345....BP HR..................................................... 168  66  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090791 -               1350....BP HR..................................................... 142  63  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090792 -               0000...
090793 -  ..
090794 -               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                                                                                                                                                                                                                                                                                  
090795 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090796 -               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                                                                                                                                                                                                                                                                                                                                                                                   
090797 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090798 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090799 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090800 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090801 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090802 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090803 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090804 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090807 -  ..
090808 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090809 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090811 -  ..
090812 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090813 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090814 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090815 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090816 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090818 -  ..
090819 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090820 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090822 -  ..
090823 - Swallowing - difficult - must eat very slowly, plenty liquid.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090825 -  ..
090826 - Reflux slept in recliner chair to control aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090830 -  ..
090831 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090832 - hydration and medications, due to bloating with aspiration.  Same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090833 - occurred stopping at mile 8, for EKG, meds and nutrition.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090834 - starting hike again, vomitted along the trail about .5 mile out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090835 - Breathed through nose entire hike with no dyspnea and should continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090836 - with hiking Crystal Ranch Road.  PL 0 entire hike wearing new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090837 - Glycerin 23 shoes received last night.  This morning, before hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090838 - 1 Naproxen 500 mg capsule; at mile 7 needed only 1 Naproxen.  Heat in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090839 - 90s was major factor limiting hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090842 -         ..
090843 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090844 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090845 -        Stomach pain bloating - unstable ANS.........   8         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
090846 -        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                                                                                                                                                                                                                                                                                                                                                                                         
090847 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090848 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090849 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090850 -        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                                                                                                                                                                                                                                                                                                                           
090851 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090852 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090853 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090854 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090855 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
090856 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090857 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
090858 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090859 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
090860 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090861 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090862 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090863 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090864 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
090865 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090866 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090867 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090868 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090869 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
090870 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090871 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090872 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090873 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090874 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090875 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090876 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090877 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090878 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090879 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090880 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090881 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090882 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090883 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
090884 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090885 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090886 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
090887 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
090888 -        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                                                                                                                                                                                                                                                                                                                           
090889 -        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                                                                                                                                                                                                                                                                                                                                                                                    
090890 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090891 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
090892 -        Callus big toe left foot...PRP 210705........   0        100  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
090893 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090894 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090895 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
090896 -        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                                                                                                                                                                                                                                                                                                                                           
090897 -        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                                                                                                                                                                                                                                                                                                                                           
090898 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090899 -        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                                                                                                                                                                                                                                                                                                                                                                                      
090900 -        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                                                                                                                                                                                                                                                                                                                                                                                        
090901 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
090902 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
090903 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090904 -        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                                                                                                                                                                                                                                                                                                                                                              
090905 -        Callus little toe #5 left foot...PRP 210705..   0        100  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
090906 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
090907 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090908 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090909 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
090910 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090911 -        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                                                                                                                                                                                                                                                                                          
090912 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
090913 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090914 -        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                                                                                                                                                                                                                                                                                                                                                                               
090915 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090916 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090917 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090918 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090919 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090920 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090921 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090922 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
090923 -        Wasted - very fatigued.......................   7         20  last 4 miles heat reached 96, had to end hike at 15, rather than go over summit and reach 20+ miles.                                                                                                                                                                                                                                                                                                                                                                                                                                         
090924 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090928 -  ..
090929 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090930 - Glycerin 23 shoes size 11.5 width 4E, again, received 260730.  Very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090931 - good hike again mostly PL 0 on feet over 15 miles.  Starting there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090932 - some pressure left foot edge #5, which resolved after about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090934 -  ..
090935 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090936 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090937 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090938 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090940 -  ..
090941 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090942 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090943 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090944 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090945 - yesterday on 260730 0900. ref SDS C9 5A4I  Today, callus injuries PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090946 - during entire hike 15 miles - very favorable result of better shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090947 - and insets supported by expert care.  If this is repeated with hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090948 - restored to therapeutic levels in days, weeks, months ahead, then HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090949 - 51 reported on 260727, should recover > 60, along with EPCs and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090950 - telomeres that maintain good health, including recovery from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090951 - dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090953 -  ..
090954 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090955 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090959 -  ..
090960 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090961 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090962 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090963 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090964 - weeks.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090965 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090966 - and #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090967 - Podiatry on 260702 0830. ref SDS C4 5H6F  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090968 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090969 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090970 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090971 - ref SDS 21 QP6L  Also took 2 CoQ10 capsules for energy, and took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090972 - Turmeric Curcumin 2250 mg pills that resolve inflammation for HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090973 - rise.  Swallowed pills separately and whole combined with small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090974 - avocado, mayonaise, peanut butter and margarine - pills slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090975 - LESV much better when swallowed combined with chewed up food in mouth.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090976 - About 20 minutes later after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090977 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 9J2P  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090978 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090979 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090980 - ref SDS 21 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090981 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090982 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090983 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090984 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090985 - Half Dome - because extra weight increases pressure on feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090986 - Now that feet injuries are on the wane, may resume taking backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090987 - after another few hikes.  Did not hike mile loop around the block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090988 - start hike, which identifies bloating and feet wound issues that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090989 - be treated, before problems arise miles from home.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090990 - mile and turned left, onto Treat.  Starting hike feet feel less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090991 - swelled like pins and needles - did not feel electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090992 - balls of feet due to peripheral neuropathy caused by statins,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090993 - diabetes, and dysfunctional ANS.  These afflictions seem quiet the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090994 - past weeks.  Bottom of both feet minor metatarsalgia pain -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090995 - significant pain ( > 5 ) both feet #1 and #5 has caused pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090996 - for injuries to heal past 60 days, see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090997 - ref SDS 21 BGZV  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090998 - indicating conditioning has sustained, despite minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090999 - months, albeit have not been hiking Crystal Ranch Road, dyspnea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091000 - occurred yesterday hiking uphill to Cliff House and on Point Lobos for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091001 - .25 mile returning to hospital.  Temperature started at 75, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091002 - reached 92.  East wind 09 mph and mostly 5 mph, which was cooling at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091003 - times; in fact heat was debilitating last 3 miles.  Continued East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091004 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091005 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091006 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091007 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091008 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091009 - miles on asphalt road shoulder.  At mile 4, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091010 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091011 - shopping complex.  Stopped at Lucky store to buy banana with potassium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091012 - that complements meds for energy, and aids swallowing meds to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091013 - through tightening LESV, pending EGD dilation on 269821.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091014 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091015 - miles.  Energy good - did not need to stop at mile 4 time ____ in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091016 - Mountain Mike's Pizza restaurant to take meds for energy to hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091017 - Turned right going West on Ygnacio Valley Road using concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091018 - .5 miles.  Continued past Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091019 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091020 - risk heavy morning commute traffic.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091021 - Valley Road hiking on wider shoulder past stop light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091022 - Boulevard.  Hiked another .25 miles to Chevron gas station and store.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091023 - At mile 5.5, turned left onto Pine Hollow.  Hiked East 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091024 - turned around at mile 6.5, past Camino Solano, and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091025 - Ygnacio Valley Road.  Stopped at Chevron gas station store mile 8 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091026 - 1101 temp 81 and wind 04 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091027 - Kardia reported HR 104 Tachycardia, - see below. ref SDS 0 9OEW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091028 - Bloating PL 8, both feet metatarsalgia PL 0.  Left foot #1 PL 0 (wound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091029 - injury healed from peeling callus, per above. ref SDS 0 6D95), and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091030 - PL 2.  Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091031 - than past 3 weeks.  Took 1 Naproxen 500 mg total today 2 for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091032 - Took 4 Magnesium complex 300 mg pills - total today 8 - for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091033 - absorbing lactic acid, per research on 200101 0701. ref SDS 21 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091034 - Took 2 Turmeric Curcumin 2250 mg - total today 4 - to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091035 - inflammation.  Took 2 CoQ10 pills - total today 4 - to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091036 - energy.  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091037 - swallowing nutrition - banana purchased at Lucky store enables                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091038 - swallowing medication pills combined with bites of banana to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091039 - through LESV now contracted due to achalasia, pending dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091040 - procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091041 - HDL and energy to continue hike.  Took Nuun electrolyte pill; all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091042 - above. ref SDS 0 QV28  Began to aspirate from build up above LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091043 - Left immediately to avoid vomitting on table in waiting area for car                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091044 - wash.  Hiked .25 miles back on Ygnacio Valley road - vomitted on dirt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091045 - trail next to the road.  Hiked back and turned left on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091046 - 0.25 miles East.  Turned around and hiked back, then turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091047 - Campus Drive.  Continued 1 mile West uphill 3% grade against wind 04                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091048 - mph.  The road bends North.  Turned left heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091049 - Valley road .50 mile.  Temperature > 90 became a factor lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091050 - energy.  Hiked West on flat grade .5 miles.  Continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091051 - Ranch Road heading West on Ygnacio Valley road .5 mile uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091052 - against wind 08 mph - temp 92.  Not feeling well, but continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091053 - Cowell to summit.  Hiked .5 mile back and turned left .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091054 - downhill 5% grade.  Continued .25 mile with no shoulder separating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091055 - vehicle traffic.  Turned left onto Treat for .25 mile; turned right on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091056 - Cunio and home.  Ended hike mile 14 time 1323 temp 92, wind 09,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091057 - bloating PL 6, energy deficit 2, feet metatarsalgia PL 0, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091058 - edge PL 0, #5 edge PL 2, right foot #1 PL 0, #5 PL 0, top #3, #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091059 - blistering PL 0, burning sensation PL 0.  EKG sinus with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091060 - Kardia reported HR 114 Tachycardia - see below. ref SDS 0 DZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091072 -  ..
091073 - Kardia recorded HR 050 at 0712, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091074 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091075 - hiking 15 miles temp 96 yesterday, per above, ref SDS 0 ICWP, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091076 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091077 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091078 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091079 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091082 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091083 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260801-ecg-071229_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091089 -  ..
091090 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091091 - California, hike 14 miles with max temperature 92, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091092 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091093 - ..
091094 -                                                                                                                                                                                                                                                                                                              x
091095 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091096 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091097 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091098 -       Date          260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25032  
091099 -       Miles            13     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
091100 -       HR AVG          109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
091101 -         MAX           134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
091102 -         Min            68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            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  
091103 -       El Climb Ft     445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           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  
091104 -       Temp Max         92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            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  
091105 -       Wind Max          9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     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  
091106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091108 -              https://flow.polar.com/training/analysis/8390527638                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091111 -               ..
091113 -   
091114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091119 -  ..
091120 - EKG at mile 08 time 1101, HR 104 temp 81, wind 04; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091121 - Unclassified... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091122 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091125 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091126 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260801-ecg-110140_mile_08_104_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091131 -  ..
091132 - End hike EKG at mile 14, time 1323 HR 114 temp 92, wind 09 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091133 - reported Tachycardia... looks like sinus mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091134 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091137 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091138 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260801-ecg-132351_mile_14_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091144 -  ..
091145 - Post hike HR profile beginning 1950, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091146 - hiking 14 miles with temperature 92, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091147 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091148 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091149 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091150 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091153 -        ..
091154 -       Date      260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
091155 -       Time       1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
091156 -       Hours         9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
091157 -       HR AVG       65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
091158 -       HR MAX      113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
091159 -       HR Min       37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
091160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091162 -              https://flow.polar.com/training/analysis/8390870054                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091164 -  ..
091165 - HRV seems  10% 0 and   0% good and  90% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091168 -   
091169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091172 -  ..
091173 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091174 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091175 - Dinner - steak asparagus onion cottage cheese tomato - later half peach, half banana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091177 -  ..
091178 - Vomiting: 20% lunch - bloating PL 3 - no aspirating last night - looks good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091208 -         ..
091209 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091210 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091211 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091212 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091213 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091214 -  132.  260802 0505............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091215 -               0510....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091216 -               0515....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
091217 -               0520....BP HR..................................................... 165  73  43  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091218 -               0525....BP HR..................................................... 151  72  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091219 -               0530....BP HR..................................................... 158  77  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091220 -               0535....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091221 -               0600....Magnesium 300 mg 3 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091222 -               0600....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
091223 -               0600... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091224 -               0600....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091225 -               0600....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091226 -    paused     0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091227 -    paused     0000....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091228 -               0630... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091229 -               0630....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
091230 -               0000...
091231 -  ..
091232 -               0635....miles...........  17.0  90.0  270  1292 minutes  temp  88 wind 05  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091233 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091234 -               0920....mile 08 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091235 -               0920....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091236 -               0920... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091237 -               0920... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091238 -               0920....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
091239 -               0920... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091240 -               0920... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091241 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091242 -               1156... Hike ends mile 17... ref SDS 0 XVTX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091243 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091244 -               1215....weight.................................... 183  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091245 -               1220....BP HR..................................................... 144  89 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091246 -               1225....BP HR..................................................... 168  71  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091247 -               1230....BP HR..................................................... 153  74  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091248 -               0000...
091249 -  ..
091250 -               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                                                                                                                                                                                                                                                                                  
091251 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091252 -               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                                                                                                                                                                                                                                                                                                                                                                                   
091253 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091254 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091255 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091256 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091257 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091258 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091259 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091260 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091263 -  ..
091264 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091265 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091267 -  ..
091268 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091269 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091270 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091271 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091272 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091274 -  ..
091275 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091276 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091278 -  ..
091279 - Swallowing - difficult - must eat very slowly, lots of liquid.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091281 -  ..
091282 - Reflux slept in recliner chair to control aspiration, vomited most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091283 - everything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091287 -  ..
091288 - Summary... before starting had difficulty swallowing nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091289 - hydration and medications, due to bloating with aspiration.  Same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091290 - occurred stopping at mile 10, for EKG, meds and nutrition.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091291 - starting hike again, vomitted along the trail about .5 mile out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091292 - Breathed through nose entire hike with no dyspnea and should continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091293 - with hiking Crystal Ranch Road.  PL 0 most of hike wearing new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091294 - Glycerin 23 shoes received last night.  This morning, before hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091295 - 0 Naproxen 500 mg capsule; at mile 7 needed only 1 Naproxen.  Heat in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091296 - high 80s was major factor limiting hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091299 -         ..
091300 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091301 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091302 -        Stomach pain bloating - unstable ANS.........   6         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
091303 -        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                                                                                                                                                                                                                                                                                                                                                                                         
091304 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091305 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091306 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091307 -        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                                                                                                                                                                                                                                                                                                                           
091308 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091309 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091310 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091311 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091312 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
091313 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091314 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
091315 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091316 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
091317 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091318 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091319 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091320 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091321 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
091322 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091323 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091324 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091325 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091326 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
091327 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091328 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091329 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091330 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091331 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091332 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091333 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091334 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091335 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091336 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091337 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091338 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091339 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091340 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
091341 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091342 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091343 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
091344 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
091345 -        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                                                                                                                                                                                                                                                                                                                           
091346 -        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                                                                                                                                                                                                                                                                                                                                                                                    
091347 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091348 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
091349 -        Callus big toe left foot...PRP 210705........   2         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
091350 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091351 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091352 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
091353 -        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                                                                                                                                                                                                                                                                                                                                           
091354 -        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                                                                                                                                                                                                                                                                                                                                           
091355 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091356 -        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                                                                                                                                                                                                                                                                                                                                                                                      
091357 -        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                                                                                                                                                                                                                                                                                                                                                                                        
091358 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
091359 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
091360 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091361 -        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                                                                                                                                                                                                                                                                                                                                                              
091362 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
091363 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
091364 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091365 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091366 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
091367 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091368 -        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                                                                                                                                                                                                                                                                                          
091369 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
091370 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091371 -        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                                                                                                                                                                                                                                                                                                                                                                               
091372 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091373 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091374 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091375 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091376 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091377 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091378 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091379 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
091380 -        Wasted - very fatigued.......................   4         20  last 4 miles heat reached 96, had to end hike at 15, rather than go over summit and reach 20+ miles.                                                                                                                                                                                                                                                                                                                                                                                                                                         
091381 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091385 -  ..
091386 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091387 - Glycerin 23 shoes size 11.5 width 4E, received 260730.  Very good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091388 - again mostly PL 0 on feet over 15 miles.  Starting there was some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091389 - pressure left foot edge #5, which resolved after about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091391 -  ..
091392 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091393 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091394 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091395 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091397 -  ..
091398 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091399 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091400 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091401 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091402 - yesterday on 260730 0900. ref SDS C9 5A4I  Today, callus injuries PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091403 - during entire hike 15 miles - very favorable result of better shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091404 - and insets supported by expert care.  If this is repeated with hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091405 - restored to therapeutic levels in days, weeks, months ahead, then HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091406 - 51 reported on 260727, should recover > 60, along with EPCs and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091407 - telomeres that maintain good health, including recovery from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091408 - dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091410 -  ..
091411 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091412 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091416 -  ..
091417 - Concord 17 mile route - did not take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091418 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091419 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091420 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091421 - weeks.  Decided not to take 1 Naproxen 500 mg for pain management -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091422 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091423 - both feet #1 and #5 calluses both PL 0 - were shaved down by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091424 - Tang in VAMC Podiatry on 260702 0830. ref SDS C4 5H6F  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091425 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091426 - that enable hiking, and reduce inflammation, all enabling HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091427 - increase, and together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091428 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091429 - energy, and took 2 Turmeric Curcumin 2250 mg pills that resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091430 - inflammation, essential for HDL to rise.  Swallowed pills separately                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091431 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091432 - and margarine - pills slip through LESV much better when swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091433 - combined with chewed up food in mouth.  About 20 minutes later, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091434 - dressing for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091435 - per above. ref SDS 0 7IDY  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091436 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091437 - energy - see case study on 200101 0701. ref SDS 21 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091438 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091439 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091440 - and atrial fibrillation (arrhythmia - variable heart rate) see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091441 - study on 200101 0701. ref SDS 21 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091442 - stuff - good to build conditioning for Half Dome - because extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091443 - weight increases pressure that causes feet injuries.  Now that feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091444 - injuries are on the wane, may resume taking backpack after another few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091445 - hikes.  Did not hike mile loop around the block to start hike, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091446 - identifies bloating and feet wound issues that can be treated, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091447 - problems arise miles from home.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091448 - onto Treat.  Starting hike feet feel less swelled like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091449 - needles - did not feel electrical shocks in balls of feet due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091450 - peripheral neuropathy caused by statins, diabetes, and dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091451 - ANS.  These afflictions seem quiet the past weeks.  Bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091452 - feet minor metatarsalgia pain - significant pain ( > 5 ) both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091453 - and #5 has caused pausing hiking for injuries to heal past 60 days,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091454 - see case study on 200101 0701. ref SDS 21 BGZV  Pausing hiking caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091455 - HDL 65 on 260302, lowering to HDL 51 in recent lab on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091456 - Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091457 - conditioning has sustained, despite minimal hiking last few months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091458 - albeit have not been hiking Crystal Ranch Road, resulting in dyspnea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091459 - on 260727, hiking uphill to Cliff House and on Point Lobos for .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091460 - mile returning to hospital.  Temperature started at 65, and reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091461 - 88.  East wind 05 mph and mostly 3 mph, which was cooling at times; in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091462 - fact heat was debilitating last 3 miles.  Continued East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091463 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091464 - Road for 1.5 miles mostly flat grade, some places 3% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091465 - light traffic.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091466 - today.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091467 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091468 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091469 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091470 - complex.  A group of about 20 Boy Scouts were forming to perform a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091471 - pick-up cleaning service on Clayton Road from Ayers North to Baily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091472 - Road.  Stopped at Lucky store to buy banana with potassium that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091473 - complements meds for energy, and aids swallowing meds to slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091474 - tightening LESV, pending EGD dilation on 269821.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091475 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091476 - good - did not need to stop at mile 4 time ____ in Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091477 - Pizza restaurant to take meds for energy to hike.  Turned right going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091478 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091479 - Continued past Park Highlands Road at Stop Light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091480 - miles on very narrow asphalt shoulder next to high risk heavy morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091481 - commute traffic.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091482 - wider shoulder past stop light at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091483 - .25 miles to Chevron gas station and store.  At mile 5.5, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091484 - onto Pine Hollow.  Hiked East 2 miles and turned around at mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091485 - before Mitchell Canyon Road.  Hiked back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091486 - Stopped at Chevron gas station store mile 10, time 0920 temp 74 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091487 - wind 04 mph; EKG looks uniform with no artifact.  Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091488 - 104 Tachycardia, - see below. ref SDS 0 LJHL  Bloating PL 6, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091489 - metatarsalgia PL 2.  Left foot #1 PL 2 and #5 PL 3.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091490 - 0; top of #3, #4, #5 PL 0 feels better today, than past 3 weeks.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091491 - 1 Naproxen 500 mg total today 1 for pain.  Took 4 Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091492 - 300 mg pills - total today 8 - for energy, absorbing lactic acid, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091493 - research on 200101 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091494 - 2250 mg - total today 4 - to reduce inflammation.  Took 2 CoQ10 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091495 - - total today 4 - to increase energy.  Sips softdrink purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091496 - Chev store for hydration and swallowing nutrition - banana purchased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091497 - at Lucky store enables swallowing medication pills combined with bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091498 - of banana to slip through LESV now contracted due to achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091499 - pending dilation procedure scheduled on 260821.  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091500 - 0.6 ml liquid for HDL and energy to continue hike.  Took Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091501 - electrolyte pill; all per above. ref SDS 0 OLDW  Began to aspirate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091502 - from build up above LESV.  Left immediately to avoid vomitting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091503 - table in waiting area for car wash.  Hiked .5 miles back on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091504 - Valley road - vomitted along dirt trail next to the road.  At Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091505 - Boulevard hiked back and turned left on Pine Hollow 0.5 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091506 - At Camino Solano turned around and hiked back, then turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091507 - Campus Drive.  Continued 1 mile West uphill 3% grade against wind 04                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091508 - mph.  The road bends North.  Turned left heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091509 - Valley road .50 mile.  Temperature nearing 90 became a factor lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091510 - energy.  Hiked West on flat grade .5 miles.  Continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091511 - Ranch Road heading West on Ygnacio Valley road .5 mile uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091512 - against wind 02 mph - temp 88.  Not feeling well, but continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091513 - Cowell to summit.  Hiked .5 mile back and turned left .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091514 - downhill 5% grade.  Continued .25 mile with no shoulder separating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091515 - vehicle traffic.  Turned left onto Treat for .25 mile; turned right on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091516 - Cunio hiking .25 mile and turned around at Kaski.  Hiked back .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091517 - and home.  Ended hike mile 17 time 1154 temp 88, wind 02, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091518 - 4, energy deficit 1, feet metatarsalgia PL 2, left foot #1 edge PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091519 - #5 edge PL 2, right foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091520 - burning sensation PL 0.  EKG sinus with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091521 - HR 115 Tachycardia - see below. ref SDS 0 XVTX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091533 -  ..
091534 - Kardia recorded HR 045 at 0538, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091535 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091536 - likely no AFL after hiking 14 miles temp 92 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091537 - ref SDS 0 9J2P, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091538 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091539 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091540 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091541 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091544 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091545 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260802-ecg-053859_mile_00_045_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091551 -  ..
091552 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091553 - California, hike 17 miles with max temperature 88, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091554 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091555 - ..
091556 -                                                                                                                                                                                                                                                                                                              x
091557 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091558 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091559 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091560 -       Date          260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25032  
091561 -       Miles            17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
091562 -       HR AVG          111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
091563 -         MAX           139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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   repo  
091564 -         Min            77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            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         
091565 -       El Climb Ft     490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           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         
091566 -       Temp Max         88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            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         
091567 -       Wind Max          5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     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         
091568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091570 -              https://flow.polar.com/training/analysis/8391157641                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091573 -               ..
091575 -   
091576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091581 -  ..
091582 - EKG at mile 10 time 0920, HR 107 temp 74, wind 04; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091583 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091584 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091587 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091588 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260802-ecg-092042_mile_10_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091593 -  ..
091594 - End hike EKG at mile 17, time 1154 HR 115 temp 88, wind 02 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091595 - reported Tachycardia... looks like sinus mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091596 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091599 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091600 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260802-ecg-115423_mile_17_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091606 -  ..
091607 - Post hike HR profile beginning 1916, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091608 - hiking 17 miles with temperature 88, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091609 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091610 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091611 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091612 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091615 -        ..
091616 -       Date      260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
091617 -       Time       1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
091618 -       Hours        10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
091619 -       HR AVG       65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
091620 -       HR MAX      127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
091621 -       HR Min       37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
091622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091624 -              https://flow.polar.com/training/analysis/8391510846                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091626 -  ..
091627 - HRV seems   0% 0 and  20% good and  80% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091630 -   
091631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091634 -  ..
091635 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091636 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091637 - Dinner - steak asparagus onion cottage cheese tomato - later half peach, half banana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091639 -  ..
091640 - Vomiting: 20% lunch - 100% dinner - bloating PL 5 sent letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091641 - Gracie asking for EGD dilation on Tuesday or Friday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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091668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091671 -         ..
091672 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091673 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091674 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091675 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091676 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091677 -  132.  260803 0510............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091678 -               0510....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091679 -               0515....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
091680 -               0520....BP HR..................................................... 176  79  66  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091681 -               0525....BP HR..................................................... 171  91  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091682 -               0530....BP HR..................................................... 157  62  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091683 -               0535....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091684 -               0600....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091685 -               0600....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
091686 -               0600... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091687 -               0600....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091688 -               0600....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091689 -    paused     0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091690 -               0600....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091691 -               0630... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091692 -               0630....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
091693 -               0000...
091694 -  ..
091695 -               0638....miles...........  21.0  21.0  344   344 minutes  temp  95 wind 08  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091696 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091697 -               1038....mile 14 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091698 -               1038....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091699 -               1038... Magnesium 300 mg 3 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091700 -    paused     0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091701 -               1038....Turmeric Curcumin 2250 mg took 1 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
091702 -               1038... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091703 -               1038... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091704 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091705 -               1311... Hike ends mile 21... ref SDS 0 XVTX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091706 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091707 -               1325....weight.................................... 180  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091708 -               1342....BP HR..................................................... 123  76 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091709 -               1350....BP HR..................................................... 125  73  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091710 -               1358....BP HR..................................................... 127  73  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091711 -               0000...
091712 -  ..
091713 -               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                                                                                                                                                                                                                                                                                  
091714 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091715 -               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                                                                                                                                                                                                                                                                                                                                                                                   
091716 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091717 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091718 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091719 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091720 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091721 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091722 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091723 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091726 -  ..
091727 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091728 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091730 -  ..
091731 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091732 - pain no longer in toes down to heels.  Symptoms declined pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091733 - needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091734 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091735 - hiking has declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091737 -  ..
091738 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091739 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091741 -  ..
091742 - Swallowing - difficult - must eat very slowly, lots of liquid.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091744 -  ..
091745 - Reflux slept in recliner chair to control aspiration, vomited most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091746 - everything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091750 -  ..
091751 - Summary... before starting less difficulty than yesterday swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091752 - nutrition, hydration and medications, due to bloating with aspiration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091753 - as occurred yesterday.  Did not occur stopping at mile 14, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091754 - meds and nutrition, partly because omitted taking some drugs to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091755 - clogging LESV.  PL 0 most of hike wearing new Brooks Glycerin 23 shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091756 - received on 260730.  This morning, before hike took 1 Naproxen 500 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091757 - capsule; at mile 14 needed only 1 Naproxen.  Heat in mid 90s was major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091758 - factor limiting hike today.  Starting hike was very sluggish.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091759 - 2, became very energetic with long fast strides.  At mile 4 suddenly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091760 - became sluggish again, similar to when Ferritin dropped far below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091761 - range, thought I would have to stop hike.  At mile 6, energy suddenly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091762 - returned.  Rest of hike routine, except after stopping at Chevron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091763 - store for EPG, meds, hydration and nutrition, on resuming hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091764 - flipped into AFL for only few minutes.  Rest of hike was normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091765 - returning home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091768 -         ..
091769 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091770 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091771 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
091772 -        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                                                                                                                                                                                                                                                                                                                                                                                         
091773 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091774 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091775 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091776 -        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                                                                                                                                                                                                                                                                                                                           
091777 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091778 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091779 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091780 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091781 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
091782 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091783 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
091784 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091785 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
091786 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091787 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091788 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091789 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091790 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
091791 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091792 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091793 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091794 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091795 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
091796 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091797 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091798 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091799 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091800 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091801 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091802 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091803 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091804 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091805 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091806 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091807 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091808 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091809 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
091810 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091811 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091812 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
091813 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
091814 -        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                                                                                                                                                                                                                                                                                                                           
091815 -        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                                                                                                                                                                                                                                                                                                                                                                                    
091816 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091817 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
091818 -        Callus big toe left foot...PRP 210705........   3         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
091819 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091820 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091821 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
091822 -        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                                                                                                                                                                                                                                                                                                                                           
091823 -        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                                                                                                                                                                                                                                                                                                                                           
091824 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091825 -        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                                                                                                                                                                                                                                                                                                                                                                                      
091826 -        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                                                                                                                                                                                                                                                                                                                                                                                        
091827 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
091828 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
091829 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091830 -        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                                                                                                                                                                                                                                                                                                                                                              
091831 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
091832 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
091833 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091834 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091835 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
091836 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091837 -        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                                                                                                                                                                                                                                                                                          
091838 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
091839 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091840 -        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                                                                                                                                                                                                                                                                                                                                                                               
091841 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091842 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091843 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091844 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091845 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091846 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091847 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091848 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
091849 -        Wasted - very fatigued.......................   3         20  last 4 miles heat reached 96, had to end hike at 15, rather than go over summit and reach 20+ miles.                                                                                                                                                                                                                                                                                                                                                                                                                                         
091850 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091854 -  ..
091855 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091856 - Glycerin 23 shoes size 11.5 width 4E, received 260730.  Very good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091857 - again mostly PL 0 on feet over 21 miles.  Starting there was some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091858 - pressure left foot edge #5, which resolved after about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091860 -  ..
091861 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091862 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091863 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091864 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091866 -  ..
091867 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091868 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091869 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091870 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091871 - yesterday on 260730 0900. ref SDS C9 5A4I  Today, callus injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091872 - recurred left foot #1 PL 3 last 4 miles, including wrapping beneath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091873 - the toe - still comparitively favorable result of better shoes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091874 - insets supported by expert care.  Good news is that while the injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091875 - expresses pain in moments, the foot, shoe, insert and socks somehow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091876 - make adjustment that ends pain, i.e., it just goes away.  If this is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091877 - repeated with hiking restored to therapeutic levels in days, weeks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091878 - months ahead, then HDL 51 reported on 260727, should recover > 60,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091879 - along with EPCs and telomeres that maintain good health, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091880 - recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091882 -  ..
091883 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091884 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091888 -  ..
091889 - Concord 21 mile route - took ot take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091890 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091891 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091892 - and also left hip, which flares few times a month, but not for a month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091893 - or more.  Took 1 Naproxen 500 mg for pain management - cut in half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091894 - aid swallowing, there is no metatarsalgia pain in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091895 - hike today, and both feet #1 and #5 calluses both PL 0 - were shaved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091896 - down by Doctor Tang in VAMC Podiatry on 260702 0830. ref SDS C4 5H6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091897 - Took 4 Magnesium Complex 300 mg pills for energy and absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091898 - acid that enable hiking, and reduce inflammation, all enabling HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091899 - increase, and together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091900 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091901 - energy, and took 2 Turmeric Curcumin 2250 mg pills that resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091902 - inflammation, essential for HDL to rise.  Swallowed pills separately                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091903 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091904 - and margarine - pills slip through LESV much better when swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091905 - combined with chewed up food in mouth.  About 20 minutes later, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091906 - dressing for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091907 - per above. ref SDS 0 AZE4  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091908 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091909 - energy - see case study on 200101 0701. ref SDS 21 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091910 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091911 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091912 - and atrial fibrillation (arrhythmia - variable heart rate) see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091913 - study on 200101 0701. ref SDS 21 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091914 - stuff - good to build conditioning for Half Dome - because extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091915 - weight increases pressure that causes feet injuries.  Now that feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091916 - injuries are on the wane, may resume taking backpack after another few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091917 - hikes.  Did not hike mile loop around the block to start hike, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091918 - identifies bloating and feet wound issues that can be treated, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091919 - problems arise miles from home.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091920 - onto Treat - was very slow and weak.  Starting hike feet feel less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091921 - swelled like pins and needles - did not feel electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091922 - balls of feet due to peripheral neuropathy caused by statins,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091923 - diabetes, and dysfunctional ANS.  These afflictions seem quiet the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091924 - past weeks.  Bottom of both feet minor metatarsalgia pain -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091925 - significant pain ( > 5 ) both feet #1 and #5 has caused pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091926 - for injuries to heal past 60 days, see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091927 - ref SDS 21 BGZV  Pausing hiking caused HDL 65 on 260302, lowering to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091928 - HDL 51 last week in lab on 260727.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091929 - with no dyspnea, indicating conditioning has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091930 - minimal hiking last few months, albeit have not been hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091931 - Ranch Road, resulting in dyspnea on 260727, hiking uphill to Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091932 - House and on Point Lobos for .25 mile returning to hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091933 - Temperature started at 65, and reached 95.  East wind 07 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091934 - mostly 3 mph, which was cooling at times; in fact heat was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091935 - debilitating last 3 miles.  Continued East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091936 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091937 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091938 - traffic.  Energy increased to normal pace 15 minute miles.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091939 - across Newhall Community park and back today.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091940 - Creek Road uphill 4% grade.  At end of Turtle Creek Road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091941 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091942 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091943 - pavement in parking lots of shopping complex.  Stopped at Lucky store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091944 - to buy banana with potassium that complements meds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091945 - aids swallowing meds to slip through tightening LESV, pending EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091946 - dilation on 260821.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091947 - continued on concrete sidewalk .5 miles.  Energy suddenly totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091948 - crashed - needed to stop at mile 4 time 0730 in Mountain Mike's Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091949 - restaurant to take meds for energy to hike; however, they are closed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091950 - at that hour, so plodded along.  Turned right going West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091951 - Valley Road using concrete sidewalk .5 miles.  Continued past Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091952 - Highlands Road at Stop Light and heading West .25 miles on very narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091953 - asphalt shoulder next to high risk heavy morning commute traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091954 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091955 - past stop light at Michigan Boulevard.  Hiked another .25 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091956 - Chevron gas station and store.  At mile 6, turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091957 - Hollow, to take Campus Drive and head home.  However, energy somehow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091958 - significantly increased - hiked East 2.5 miles to end of Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091959 - turned around and hiked back to Ygnacio Valley Road.  Rather than stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091960 - at the gas station mile 10/11, for EKG, meds, hydration and nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091961 - decided to hike .5 mile to Michigan Boulevard and back.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091962 - Michigan Boulevard contined another .5 mile to Clayton Road, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091963 - right kept going another .25 mile, then returned.  Stopped at Chevron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091964 - gas station store mile 14, time 1038.  This signals significant change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091965 - from never having hiked 14 miles without stopping, and after having                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091966 - severe energy decline at mile 4 - could this be related to unstable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091967 - ANS?  Temp 80 and wind 03 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091968 - Kardia reported HR 104 Tachycardia, - see below. ref SDS 0 T24E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091969 - Bloating PL 4, both feet metatarsalgia PL 2.  Left foot #1 PL 3 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091970 - PL 2.  Right foot #5 PL 1; top of #3, #4, #5 PL 0 feels better today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091971 - than past 3 weeks.  Reduced drugs to avoid vomiting and aspiration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091972 - that occurred yesterday.  Took 1 Naproxen 500 mg total today 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091973 - pain.  Took 3 Magnesium complex 300 mg pills - total today 7 - for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091974 - energy, absorbing lactic acid, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091975 - ref SDS 21 QP6L  Took 1 Turmeric Curcumin 2250 mg - total today 3 - to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091976 - reduce inflammation.  Took 0 CoQ10 pills - total today 2 - to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091977 - energy.  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091978 - swallowing nutrition - banana purchased at Lucky store enables                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091979 - swallowing medication pills combined with bites of banana to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091980 - through LESV now contracted due to achalasia, pending dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091981 - procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091982 - HDL and energy to continue hike.  Took Nuun electrolyte pill; all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091983 - above. ref SDS 0 OLDW  Did not begin to aspirate from build up above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091984 - LESV.  Left immediately to avoid vomitting on table in waiting area                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091985 - for car wash.  Hiked .5 miles back on Ygnacio Valley road - vomitted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091986 - along dirt trail next to the road, like yesterday.  Polar HR report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091987 - shows AFL likely occurred at 174 BPM for only 5 minutes, on standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091988 - up and resuming hike.  At Michigan Boulevard hiked back and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091989 - left onto Pine Hollow about 0.25 miles East.  At Discovery Way turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091990 - around and hiked back, then turned left onto Campus Drive.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091991 - 1 mile West uphill 3% grade against wind 04 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091992 - North.  Turned left heading West on Ygnacio Valley road .50 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091993 - Temperature 95 became a factor lowering energy.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091994 - Crystal Ranch Road on Ygnacio Valley road .5 mile uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091995 - against wind 03 mph - temp 95.  Feeling better than yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091996 - continued past Cowell to summit.  Hiked .5 mile back and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091997 - .25 mile downhill 5% grade.  Continued .25 mile with very narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091998 - shoulder and no demarcation line separating vehicle traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091999 - left onto Treat for .25 mile; turned right on Cunio hiking .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092000 - and turned around at Kaski.  Hiked back .25 mile and home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092001 - mile 21 time 1311 temp 95, wind 08, bloating PL 4, energy deficit 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092002 - feet metatarsalgia PL 2, left foot #1 edge PL 4, #5 edge PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092003 - foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 0, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092004 - PL 0.  EKG sinus with no artifact, Kardia reported HR 126 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092005 - - see below. ref SDS 0 ZJXQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092017 -  ..
092018 - Kardia recorded HR 062 at 0553, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092019 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092020 - likely no AFL after hiking 17 miles temp 88 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092021 - ref SDS 0 7IDY, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092022 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092023 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092024 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092025 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092028 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092029 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260803-ecg-055307_mile_00_062_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092035 -  ..
092036 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092037 - California, hike 21 miles with max temperature 95, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092038 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092039 - ..
092040 -                                                                                                                                                                                                                                                                                                              x
092041 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092042 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092043 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092044 -       Date          260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25032  
092045 -       Miles            21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
092046 -       HR AVG          114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
092047 -  **     MAX           178    139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
092048 -         Min            68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            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  
092049 -       El Climb Ft     525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           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  
092050 -       Temp Max         95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            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  
092051 -       Wind Max          7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     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  
092052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092055 -              https://flow.polar.com/training/analysis/8391855388                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092058 -               ..
092060 -   
092061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092066 -  ..
092067 - EKG at mile 14 time 1038, HR 115 temp 80, wind 03; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092068 - Tachycardia... heart rate looks totaly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092069 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092072 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092073 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260803-ecg-103807_mile_14_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092078 -  ..
092079 - End hike EKG at mile 21, time 1311 HR 126 temp 95, wind 08 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092080 - reported Tachycardia... looks like sinus mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092081 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092084 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092085 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260803-ecg-131143_mile_21_126_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092091 -  ..
092092 - Post hike HR profile beginning 2032, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092093 - hiking 21 miles with temperature 95, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092094 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092095 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092096 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092097 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092100 -        ..
092101 -       Date      260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
092102 -       Time       2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
092103 -       Hours         8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
092104 -       HR AVG       67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
092105 -       HR MAX      114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
092106 -       HR Min       38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
092107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092109 -              https://flow.polar.com/training/analysis/8392197211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092111 -  ..
092112 - HRV seems  30% 0 and  20% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092115 -   
092116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092119 -  ..
092120 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092121 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092122 - Dinner - steak asparagus onion cottage cheese tomato - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092124 -  ..
092125 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092155 -         ..
092156 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092157 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092158 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092159 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092160 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092161 -  132.  260804 0505............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092162 -               0510....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092163 -               0515....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
092164 -               0520....BP HR..................................................... 187  68  45  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092165 -               0525....BP HR..................................................... 165  78  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092166 -               0530....BP HR..................................................... 160  68  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092167 -               0535....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092168 -               0540....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092169 -               0540....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
092170 -               0540... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092171 -               0540....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092172 -               0540....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092173 -               0540....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092174 -               0615....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092175 -               0615... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092176 -               0615....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
092177 -               0000...
092178 -  ..
092179 -               0622....miles...........  21.0  42.0  340   684 minutes  temp  91 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092180 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092181 -               0955....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092182 -               0955....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092183 -               0955... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092184 -   skipped     0000... 02   CoQ10 Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092185 -               0955....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
092186 -               0955... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092187 -               0955... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092188 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092189 -               1314... Hike ends mile 21... ref SDS 0 KYSA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092190 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092191 -               1325....weight.................................... 180  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092192 -               1333....BP HR..................................................... 149  80 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092193 -               1340....BP HR..................................................... 101  68  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092194 -               1346....BP HR..................................................... 101  70  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092195 -               0000...
092196 -  ..
092197 -               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                                                                                                                                                                                                                                                                                  
092198 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092199 -               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                                                                                                                                                                                                                                                                                                                                                                                   
092200 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092201 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092202 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092203 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092204 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092205 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092206 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092207 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092210 -  ..
092211 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092212 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092214 -  ..
092215 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092216 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092217 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092218 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092219 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092220 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092222 -  ..
092223 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092224 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092226 -  ..
092227 - Swallowing - difficult - must eat very slowly, lots of liquid to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092228 - avoid vomiting, gagging, aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092230 -  ..
092231 - Reflux slept in recliner chair to control aspiration, vomited most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092232 - everything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092236 -  ..
092237 - Summary... before starting same difficulty as yesterday swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092238 - nutrition, hydration and medications, due to bloating with aspiration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092239 - that has been occurring past week.  Did not occurred stopping at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092240 - 12, for EKG, meds and nutrition.  PL 0 most of hike wearing new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092241 - Glycerin 23 shoes received on 260730.  This morning, before hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092242 - 1 Naproxen 500 mg capsule; at mile 12 needed only 1 Naproxen.  Heat in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092243 - low 90s was major factor limiting hike.  Hiked over summit adding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092244 - 8-mile loop 1st time in many months.  Attributed to new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092245 - Glyceryn 23 shoes and Powerstep inserts modified by Doctor Hewitson at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092246 - VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092250 -         ..
092251 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092252 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092253 -        Stomach pain bloating - unstable ANS.........   6         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
092254 -        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                                                                                                                                                                                                                                                                                                                                                                                         
092255 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092256 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092257 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092258 -        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                                                                                                                                                                                                                                                                                                                           
092259 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092260 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092261 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092262 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092263 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
092264 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092265 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
092266 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092267 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
092268 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092269 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092270 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092271 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092272 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
092273 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092274 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092275 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092276 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092277 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
092278 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092279 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092280 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092281 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092282 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092283 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092284 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092285 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092286 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092287 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092288 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092289 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092290 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092291 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
092292 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092293 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092294 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
092295 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
092296 -        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                                                                                                                                                                                                                                                                                                                           
092297 -        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                                                                                                                                                                                                                                                                                                                                                                                    
092298 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092299 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
092300 -        Callus big toe left foot...PRP 210705........   4         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
092301 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092302 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092303 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
092304 -        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                                                                                                                                                                                                                                                                                                                                           
092305 -        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                                                                                                                                                                                                                                                                                                                                           
092306 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092307 -        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                                                                                                                                                                                                                                                                                                                                                                                      
092308 -        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                                                                                                                                                                                                                                                                                                                                                                                        
092309 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
092310 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
092311 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092312 -        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                                                                                                                                                                                                                                                                                                                                                              
092313 -        Callus little toe #5 left foot...PRP 210705..   3         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
092314 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
092315 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092316 -        Blister top foot at toe line right foot......   2         20  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092317 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
092318 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092319 -        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                                                                                                                                                                                                                                                                                          
092320 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
092321 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092322 -        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                                                                                                                                                                                                                                                                                                                                                                               
092323 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092324 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092325 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092326 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092327 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092328 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092329 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092330 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
092331 -        Wasted - very fatigued.......................   3         20  last 4 miles heat reached 92, had to end hike at 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092332 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092336 -  ..
092337 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092338 - Glycerin 23 shoes size 11.5 width 4E, received 260730.  Very good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092339 - again mostly PL 0.  After 5 hikes, getting pressure top metatarsals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092340 - mostly right foot.  Callus left foot #1 returning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092342 -  ..
092343 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092344 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092345 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092346 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092348 -  ..
092349 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092350 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092351 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092352 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092353 - yesterday on 260730 0900. ref SDS C9 5A4I  Today, callus injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092354 - recurred left foot #1 PL 3 last 4 miles, including wrapping beneath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092355 - the toe - still comparitively favorable result of better shoes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092356 - insets supported by expert care.  Good news is that while the injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092357 - expresses pain in moments, the foot, shoe, insert and socks somehow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092358 - make adjustment that ends pain, i.e., it just goes away.  If this is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092359 - repeated with hiking restored to therapeutic levels in days, weeks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092360 - months ahead, then HDL 51 reported on 260727, should recover > 60,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092361 - along with EPCs and telomeres that maintain good health, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092362 - recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092364 -  ..
092365 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092366 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092370 -  ..
092371 - Concord 21 mile route - took ot take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092372 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092373 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092374 - and also left hip, which flares few times a month, but not for a month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092375 - or more.  Took 1 Naproxen 500 mg for pain management - cut in half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092376 - aid swallowing, there is no metatarsalgia pain in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092377 - hike today, and both feet #1 and #5 calluses both PL 0 - were shaved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092378 - down by Doctor Tang in VAMC Podiatry on 260730 0900. ref SDS C9 5H6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092379 - Took 4 Magnesium Complex 300 mg pills for energy and absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092380 - acid that enable hiking, and reduce inflammation, all enabling HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092381 - increase, and together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092382 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092383 - energy, and took 2 Turmeric Curcumin 2250 mg pills that resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092384 - inflammation, essential for HDL to rise.  Swallowed pills separately                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092385 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092386 - and margarine - pills slip through LESV much better when swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092387 - combined with chewed up food in mouth.  About 20 minutes later, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092388 - dressing for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092389 - per above. ref SDS 0 74DZ  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092390 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092391 - energy - see case study on 200101 0701. ref SDS 21 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092392 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092393 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092394 - and atrial fibrillation (arrhythmia - variable heart rate) see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092395 - study on 200101 0701. ref SDS 21 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092396 - stuff - good to build conditioning for Half Dome - because extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092397 - weight increases pressure that causes feet injuries.  Now that feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092398 - injuries are on the wane, may resume taking backpack after another few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092399 - hikes.  Did not hike mile loop around the block to start hike, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092400 - identifies bloating and feet wound issues that can be treated, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092401 - problems arise miles from home.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092402 - onto Treat - was slow and weak, but better than yesterday, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092403 - conditioning may be rising after hiking more often than in past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092404 - months.  Starting hike feet feel less swelled like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092405 - did not feel electrical shocks in balls of feet due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092406 - neuropathy caused by statins, diabetes, and dysfunctional ANS.  These                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092407 - afflictions seem quiet the past weeks.  Bottom of both feet minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092408 - metatarsalgia pain - significant pain ( > 5 ) both feet #1 and #5 has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092409 - caused pausing hiking for injuries to heal past 60 days, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092410 - study on 200101 0701. ref SDS 21 BGZV  Pausing hiking caused HDL 65 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092411 - 260302, lowering to HDL 51 last week in lab on 260727.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092412 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092413 - sustained, despite minimal hiking last few months, albeit have not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092414 - been hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092415 - uphill to Cliff House and on Point Lobos for .25 mile returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092416 - hospital.  Temperature started at 65, and reached 92.  East wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092417 - mph and mostly 8 mph, which was cooling at times; in fact heat was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092418 - debilitating last 5 miles.  Continued East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092419 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092420 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092421 - traffic.  Energy increased to normal pace 15 minute miles.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092422 - across Newhall Community park and back today.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092423 - Creek Road uphill 4% grade.  At end of Turtle Creek Road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092424 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092425 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092426 - pavement in parking lots of shopping complex.  Stopped at Lucky store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092427 - to buy banana with potassium that complements meds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092428 - aids swallowing meds to slip through tightening LESV, pending EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092429 - dilation on 260821.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092430 - continued on concrete sidewalk .5 miles.  Energy decline again, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092431 - not totally crashed like yesterday - no - need to stop at mile 4 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092432 - 0720 in Mountain Mike's Pizza restaurant to take meds for energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092433 - hike; however, they are closed at that hour, so plodded along.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092434 - right going West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092435 - miles.  Continued past Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092436 - West .25 miles on very narrow asphalt shoulder next to high risk heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092437 - morning commute traffic.  This morning it worked out randomly that 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092438 - or so cars sped by while walking on 12" curb - don't really want to do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092439 - that again.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092440 - shoulder past stop light at Michigan Boulevard.  Hiked another .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092441 - miles to Chevron gas station and store.  At mile 6, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092442 - Pine Hollow, - hiked East 1.0 mile.  Beyond Camino Solano turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092443 - around and hiked back to Ygnacio Valley Road.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092444 - Drive.  Continued 1 mile West uphill 3% grade against wind 08 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092445 - The road bends North.  Turned left heading West on Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092446 - .50 mile flat grade.  At Crystal Ranch Road mile 9, turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092447 - headed back and turned right hiking uphill .3 mile on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092448 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092449 - Campus - mile 10.  Hiked 4 loops around main buildings - used exercise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092450 - equipment at back of buildings to do 20 partial pullups and pushups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092451 - each pass.  Cross paths with Lisa walking dogs in Faculty Parking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092452 - 2nd loop.  On 4th loop stopped at cafeteria mile 12, time 0955, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092453 - 73 and wind 08 mph; EKG looks mostly uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092454 - Kardia reported HR 108 Tachycardia, - see below. ref SDS 0 9MG5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092455 - Bloating PL 2, both feet metatarsalgia PL 2.  Left foot #1 PL 2 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092456 - PL 2.  Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092457 - than past 3 weeks.  Rather than Reduce drugs to avoid vomiting and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092458 - aspiration that occurred the day before, tried full complement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092459 - 1 Naproxen 500 mg total today 2 for pain.  Took 4 Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092460 - 300 mg pills - total today 8 - for energy, absorbing lactic acid, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092461 - research on 200101 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092462 - 2250 mg - total today 4 - to reduce inflammation.  By this point was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092463 - not feeling well, esophagus was filling up, so took 0 CoQ10 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092464 - total today 2 - to increase energy.  Sips softdrink purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092465 - cafeteria vending machine for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092466 - banana purchased at Lucky store enables swallowing medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092467 - combined with bites of banana to slip through LESV now contracted due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092468 - to achalasia, pending dilation procedure scheduled on 260821.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092469 - Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to continue hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092470 - Took Nuun electrolyte pill; all per above. ref SDS 0 NKBW  Was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092471 - beginning to aspirate from build up above LESV.  Nuun pill fizzes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092472 - left immediately to avoid vomitting on table in cafeterai.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092473 - 13, left college heading North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092474 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092475 - Continued past Crystal Ranch Road heading West on Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092476 - .5 mile uphill 3% grade against wind 12 mph - temp 92.  Crossed Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092477 - at stop light.  At break in traffic, crossed to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092478 - Valley Road to avoid severe camber.  Feeling okay, so hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092479 - uphill 3% grade to summit at end of concrete barriar mile 15.  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092480 - break in afternoon commute traffic crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092481 - Valley Road.  Continued 2 miles downhill 3% grade.  Crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092482 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092483 - Hiked 1-mile loop around block at Safeway shopping complex.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092484 - stop at Mod Pizza mile 17, time ____, for EKG, meds, etc, - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092485 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092486 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092487 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092488 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092489 - San Miguel continued .75 miles on Treat uphill 5% grade temp 92.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092490 - Handled this well.  At summit, mile 20, hiked another mile to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092491 - then home.  Ended hike mile 21 time 1314 temp 92, wind 12.  Bloated PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092492 - 3, energy deficit PL 2, feet metatarsalgia PL 3, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092493 - 2, left foot #1 PL 2, #5 PL 3, right foot #5 PL 4, #1 PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092494 - PL 0, wobbly PL 0.  EKG looks mostly uniform, with minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092495 - Kardia reported HR 117 Tachycardia - see below. ref SDS 0 KYSA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092508 -  ..
092509 - Kardia recorded HR 049 at 0516, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092510 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092511 - likely no AFL after hiking 21 miles temp 95 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092512 - ref SDS 0 AZE4, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092513 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092514 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092515 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092516 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092519 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092520 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260804-ecg-051620_mile_00_049_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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092523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092526 -  ..
092527 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092528 - California, hike 21 miles with max temperature 95, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092529 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092530 - ..
092531 -                                                                                                                                                                                                                                                                                                              x
092532 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092533 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092534 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092535 -       Date          260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25032  
092536 -       Miles            21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
092537 -       HR AVG          109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
092538 -  **     MAX           135    178    139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
092539 -         Min            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80  
092540 -       El Climb Ft     660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340  
092541 -       Temp Max         91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56  
092542 -       Wind Max         12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     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  
092543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092546 -              https://flow.polar.com/training/analysis/8392553048                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092549 -               ..
092551 -   
092552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092557 -  ..
092558 - EKG at mile 12 time 0955, HR 108 temp 73, wind 08; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092559 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092560 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092563 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092564 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260804-ecg-095507_mile_12_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092569 -  ..
092570 - End hike EKG at mile 21, time 1314 HR 117 temp 92, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092571 - reported Tachycardia... looks like sinus mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092572 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092575 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092576 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260804-ecg-131443_mile_21_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092582 -  ..
092583 - Post hike HR profile beginning 2041, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092584 - hiking 21 miles with temperature 92, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092585 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092586 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092587 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092588 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092591 -        ..
092592 -       Date      260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
092593 -       Time       2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
092594 -       Hours         9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
092595 -       HR AVG       68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
092596 -       HR MAX      118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
092597 -       HR Min       39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
092598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092600 -              https://flow.polar.com/training/analysis/8392942385                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092602 -  ..
092603 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092606 -   
092607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092610 -  ..
092611 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092612 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092613 - Dinner - steak asparagus onion cottage cheese tomato - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092615 -  ..
092616 - Vomiting: 70% - lunch, dinner bloating PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092647 -         ..
092648 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092649 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092650 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092651 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092652 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092653 -  132.  260805 0605............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092654 -               0610....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092655 -               0615....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
092656 -               0620....BP HR..................................................... 159  74  71  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092657 -               0625....BP HR..................................................... 171  78  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092658 -               0630....BP HR..................................................... 165  75  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092659 -               0635....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092660 -               0640....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092661 -               0640....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
092662 -               0000...
092663 -  ..
092664 -               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                                                                                                                                                                                                                                                                                  
092665 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092666 -               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                                                                                                                                                                                                                                                                                                                                                                                   
092667 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092668 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092669 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092670 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092671 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092672 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092673 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092674 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092676 -  ..
092677 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092678 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092680 -  ..
092681 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092682 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092683 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092684 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092685 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092686 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092688 -  ..
092689 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092690 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092692 -  ..
092693 - Swallowing - difficult - must eat very slowly, lots of liquid to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092694 - avoid vomiting, gagging, aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092696 -  ..
092697 - Reflux slept in recliner chair to control aspiration, vomited most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092698 - everything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092703 -  ..
092704 - Kardia recorded HR 079 at 0960, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092705 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092706 - likely no AFL after hiking 21 miles temp 92 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092707 - ref SDS 0 74DZ, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092708 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092709 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092710 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092711 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092714 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092715 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260805-ecg-095001_mile_00_070_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092721 -  ..
092722 - Post hike HR profile beginning 2010, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092723 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092724 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092725 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092726 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092727 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092730 -        ..
092731 -       Date      260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
092732 -       Time       2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
092733 -       Hours        12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
092734 -       HR AVG       68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
092735 -       HR MAX      110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
092736 -       HR Min       37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
092737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092739 -              https://flow.polar.com/training/analysis/8393665950                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092741 -  ..
092742 - HRV seems  20% 0 and  30% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092745 -   
092746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092749 -  ..
092750 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092751 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092752 - Dinner - steak asparagus onion cottage cheese tomato - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092754 -  ..
092755 - Vomiting: 70% - dinner bloating PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092786 -         ..
092787 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092788 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092789 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092790 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092791 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092792 -  132.  260806 0705............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092793 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092794 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
092795 -               0720....BP HR..................................................... 176  77  59  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092796 -               0725....BP HR..................................................... 162  85  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092797 -               0730....BP HR..................................................... 158  66  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092798 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092799 -               0910....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092800 -               0910....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
092801 -               0910... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092802 -               0910....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092803 -               0910....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092804 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092805 -               0955....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092806 -               0955... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092807 -               0955....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
092808 -               0000...
092809 -  ..
092810 -               1004....miles...........  18.0  60.0  300   984 minutes  temp  92 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092811 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092812 -               1340....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092813 -               1340....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092814 -               1340... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092815 -               1340... 02   CoQ10 Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092816 -               1340....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
092817 -     paused    0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092818 -               1340... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092819 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092820 -               1605... Hike ends mile 18... ref SDS 0 6R8E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092821 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092822 -               1620....weight.................................... 181  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092823 -               1628....BP HR..................................................... 130  79 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092824 -               1640....BP HR..................................................... 128  72  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092825 -               1646....BP HR..................................................... 125  79  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092826 -               0000...
092827 -  ..
092828 -               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                                                                                                                                                                                                                                                                                  
092829 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092830 -               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                                                                                                                                                                                                                                                                                                                                                                                   
092831 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092832 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092833 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092834 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092835 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092836 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092837 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092838 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092841 -  ..
092842 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092843 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092845 -  ..
092846 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092847 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092848 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092849 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092850 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092851 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092853 -  ..
092854 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092855 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092857 -  ..
092858 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092859 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092860 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092862 -  ..
092863 - Reflux slept in recliner chair to control aspiration, vomited most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092864 - everything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092868 -  ..
092869 - Summary... before starting same difficulty as yesterday swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092870 - nutrition, hydration and medications, due to bloating with aspiration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092871 - that has been occurring past week.  Occurred less stopping at mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092872 - for EKG, meds and nutrition - was able keep down all meds.  PL 0 most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092873 - of hike wearing new Brooks Glycerin 23 shoes received on 260730.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092874 - morning, before hike took 1 Naproxen 500 mg capsule; at mile 12 needed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092875 - only 1 Naproxen.  Heat in low 90s was major factor limiting hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092876 - blood test to evaluate hiking 134 miles in last 8 days, with much less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092877 - feet pain, which should mean less inflammation, enabling HDL 51 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092878 - hopefully rise toward 60, as a result of new Brooks Glyceryn 23 shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092879 - and Powerstep inserts modified by Doctor Hewitson at VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092883 -         ..
092884 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092885 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092886 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
092887 -        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                                                                                                                                                                                                                                                                                                                                                                                         
092888 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092889 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092890 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092891 -        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                                                                                                                                                                                                                                                                                                                           
092892 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092893 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092894 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092895 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092896 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
092897 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092898 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
092899 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092900 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
092901 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092902 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092903 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092904 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092905 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
092906 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092907 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092908 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092909 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092910 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
092911 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092912 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092913 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092914 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092915 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092916 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092917 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092918 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092919 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092920 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092921 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092922 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092923 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092924 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
092925 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092926 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092927 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
092928 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
092929 -        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                                                                                                                                                                                                                                                                                                                           
092930 -        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                                                                                                                                                                                                                                                                                                                                                                                    
092931 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092932 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
092933 -        Callus big toe left foot...PRP 210705........   3         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
092934 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092935 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092936 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
092937 -        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                                                                                                                                                                                                                                                                                                                                           
092938 -        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                                                                                                                                                                                                                                                                                                                                           
092939 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092940 -        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                                                                                                                                                                                                                                                                                                                                                                                      
092941 -        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                                                                                                                                                                                                                                                                                                                                                                                        
092942 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
092943 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
092944 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092945 -        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                                                                                                                                                                                                                                                                                                                                                              
092946 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
092947 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
092948 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092949 -        Blister top foot at toe line right foot......   2         20  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092950 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
092951 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092952 -        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                                                                                                                                                                                                                                                                                          
092953 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
092954 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092955 -        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                                                                                                                                                                                                                                                                                                                                                                               
092956 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092957 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092958 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092959 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092960 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092961 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092962 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092963 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
092964 -        Wasted - very fatigued.......................   2         20  last 4 miles heat reached 92, had to end hike at 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092965 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092969 -  ..
092970 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092971 - Glycerin 23 shoes size 11.5 width 4E, received 260730.  Very good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092972 - again mostly PL 0.  After 5 hikes, getting pressure top metatarsals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092973 - mostly right foot.  Callus left foot #1 returning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092975 -  ..
092976 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092977 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092978 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092979 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092981 -  ..
092982 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092983 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092984 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092985 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092986 - yesterday on 260730 0900. ref SDS C9 5A4I  Callus injuries recurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092987 - left foot #1 including wrapping beneath the toe, and callus left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092988 - #5, and same on right foot, but possibly more slowly comparitively                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092989 - favorable result of better shoes and insets supported by expert care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092990 - Good news is that while the injury expresses pain in moments, the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092991 - foot, shoe, insert and socks somehow make adjustment that ends pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092992 - i.e., it just goes away.  If this is repeated with hiking restored to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092993 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092994 - on 260727, should recover > 60, along with EPCs and telomeres that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092995 - maintain good health, including recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092997 -  ..
092998 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092999 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093003 -  ..
093004 - Concord 18 mile route - took no Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093005 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093006 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093007 - and also left hip, which flares few times a month, but not for a month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093008 - or more.  Took 1 Naproxen 500 mg for pain management - cut in half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093009 - aid swallowing, there is no metatarsalgia pain in feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093010 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093011 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C9 5H6F; left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093012 - foot #1 #5 calluses growing again, possibly more slowly.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093013 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093014 - that enable hiking, and reduce inflammation, all enabling HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093015 - increase, and together with rising EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093016 - vessels - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093017 - capsules for energy, and took 2 Turmeric Curcumin 2250 mg pills that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093018 - resolve inflammation, essential for HDL to rise.  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093019 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093020 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093021 - easier when swallowed combined with chewed up food in mouth.  About 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093022 - minutes later, after dressing for hike, took liquid Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093023 - and Ubiquinol CoQ10 per above. ref SDS 0 7PO6  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093024 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093025 - giving human cells energy - see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093026 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093027 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093028 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093029 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093030 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093031 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093032 - injuries, e.g., calluses.  Now that feet injuries are on the wane, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093033 - resume taking backpack after another few hikes.  Did not feel well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093034 - starting hike - did mile loop around the block to start hike, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093035 - identifies bloating and feet wound issues that can be treated, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093036 - problems arise miles from home.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093037 - onto Treat - was not slow and weak this morning - better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093038 - yesterday, indicating conditioning may be rising after hiking more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093039 - often than in past 3 months.  May as well reflect break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093040 - dysfunctional ANS causing variable ANS to slip into sinus rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093041 - Starting hike feet feel less swelled like pins and needles - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093042 - feel electrical shocks in balls of feet due to peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093043 - caused by statins, diabetes, and dysfunctional ANS.  These afflictions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093044 - seem quiet the past weeks.  Bottom of both feet minor metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093045 - pain - significant pain ( > 5 ) both feet #1 and #5 has caused pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093046 - hiking for injuries to heal past 90 days, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093047 - 0701. ref SDS 21 BGZV  Pausing hiking caused HDL 65 on 260302,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093048 - lowering to HDL 51 last lab on 260727.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093049 - hike with no dyspnea, indicating conditioning has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093050 - minimal hiking last few months, albeit have not been hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093051 - Ranch Road, resulting in dyspnea on 260727, hiking uphill to Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093052 - House and on Point Lobos for .25 mile returning to hospital.  Started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093053 - hike late in morning OA 1004, with temperature at 75, and reached 92.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093054 - East wind 15 mph and mostly 8 mph, which was cooling at times; in fact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093055 - heat was debilitating last 3 miles.  Continued East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093056 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093057 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093058 - traffic.  Maintained normal pace 15 minute miles.  Hiked across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093059 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093060 - uphill 4% grade.  At end of Turtle Creek Road turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093061 - hiking East .75 miles on asphalt road shoulder.  At mile 5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093062 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093063 - parking lots of shopping complex.  Stopped at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093064 - banana with potassium that complements meds for energy, and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093065 - swallowing meds to slip through tightening LESV, pending EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093066 - on 260821.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093067 - concrete sidewalk .5 miles.  Energy maintained - no need to stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093068 - Mountain Mike's Pizza restaurant to take meds for energy.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093069 - right going West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093070 - miles.  Continued past Park Highlands Road at traffic stoplight and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093071 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093072 - risk heavy morning commute traffic.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093073 - Valley Road hiking on wider shoulder past stoplight at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093074 - Boulevard.  Hiked another .25 miles to Chevron gas station and store.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093075 - At mile 7, turned left onto Pine Hollow, - hiked East 2.0 miles.  Near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093076 - Panadero Way at steel road barriar, mile 9, turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093077 - back 2 miles.  Turned right onto Ygnacio Valley Road, and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093078 - .5 mile.  Turned right onto Michigan Boulevard.  Continued .25 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093079 - Turned around at Oregon Drive.  Returned to Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093080 - left again onto Ygnacio Valley Road another .5 mile.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093081 - Chevron gas station store mile 12, time 1340, temp 86 and wind 16 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093082 - EKG looks mostly uniform with minor artifact.  Kardia reported HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093083 - Tachycardia, - see below. ref SDS 0 IFDO  Bloating PL 3, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093084 - deficit PL 3, both feet metatarsalgia PL 2.  Left foot #1 PL 2 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093085 - PL 2.  Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093086 - than past 3 weeks.  Took 1 Naproxen 500 mg total today 2 for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093087 - Took 4 Magnesium complex 300 mg pills - total today 8 - for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093088 - absorbing lactic acid, per research on 200101 0701. ref SDS 21 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093089 - Took 2 Turmeric Curcumin 2250 mg - total today 4 - to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093090 - inflammation.  By this point was not feeling well, esophagus was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093091 - filling up, still took 2 CoQ10 pills - total today 4 - to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093092 - energy.  Sips softdrink purchased from cafeteria vending machine for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093093 - hydration and swallowing nutrition - banana purchased at Lucky store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093094 - enables swallowing medication pills combined with bites of banana to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093095 - slip through LESV now contracted due to achalasia, pending dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093096 - procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093097 - HDL and energy to continue hike.  Did not take Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093098 - because seems to drive vomiting; all per above. ref SDS 0 TF6M  Was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093099 - beginning to aspirate from build up above LESV.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093100 - heading East back on original route Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093101 - North onto Clayton.  At mile 15, stopped at Quest labs for blood draw,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093102 - testing improvements from lab on 260727.  Continued .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093103 - turned left heading West on Treat Boulevard.  Hiked 2 miles, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093104 - Cowell, turned onto Cunio and hiked .25 mile.  Turned around at Kaski                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093105 - then home.  Ended hike mile 18 time 1605 temp 92, wind 16.  Bloated PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093106 - 3, energy deficit PL 4, feet metatarsalgia PL 3, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093107 - 2, left foot #1 PL 2, #5 PL 2, right foot #5 PL 1, #1 PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093108 - PL 0, wobbly PL 0.  EKG looks mostly uniform, with minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093109 - Kardia reported HR 119 Tachycardia - see below. ref SDS 0 6R8E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093122 -  ..
093123 - Kardia recorded HR 052 at 0805, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093124 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093125 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093126 - ref SDS 0 YBJS, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093127 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093128 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093129 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093130 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093133 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093134 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260806-ecg-080524_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093140 -  ..
093141 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093142 - California, hike 18 miles with max temperature 92, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093143 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093144 - ..
093145 -                                                                                                                                                                                                                                                                                                              x
093146 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093147 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093148 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093149 -       Date          260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25032  
093150 -       Miles            18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
093151 -       HR AVG          112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
093152 -  **     MAX           131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
093153 -         Min            74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50  
093154 -       El Climb Ft     440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436  
093155 -       Temp Max         92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65  
093156 -       Wind Max         15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20  
093157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093160 -              https://flow.polar.com/training/analysis/8393958779                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093163 -               ..
093165 -   
093166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093171 -  ..
093172 - EKG at mile 12 time 1340, HR 108 temp 86, wind 16; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093173 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093174 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093177 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093178 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260806-ecg-134038_mile_12_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093183 -  ..
093184 - End hike EKG at mile 18, time 1605 HR 119 temp 92, wind 16 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093185 - reported Tachycardia... looks like sinus mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093186 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093189 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093190 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260806-ecg-160520_mile_18_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093196 -  ..
093197 - Post hike HR profile beginning 2306, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093198 - hiking 18 miles with temperature 91, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093199 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093200 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093201 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093202 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093205 -        ..
093206 -       Date      260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
093207 -       Time       2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
093208 -       Hours         8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
093209 -       HR AVG       67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
093210 -       HR MAX      138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
093211 -       HR Min       40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
093212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093214 -              https://flow.polar.com/training/analysis/8394345349                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093216 -  ..
093217 - HRV seems  10% 0 and  20% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093220 -   
093221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093224 -  ..
093225 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093226 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093227 - Dinner - hamburger onion cottage cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093229 -  ..
093230 - Vomiting: 10% - dinner bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093260 -         ..
093261 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093262 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093263 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093264 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093265 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093266 -  132.  260807 0707............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093267 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093268 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
093269 -               0720....BP HR..................................................... 158  87  69  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093270 -               0725....BP HR..................................................... 167  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093271 -               0730....BP HR..................................................... 164  79  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093272 -               0735....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093273 -               0735....Magnesium 300 mg 1 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093274 -               0735....Turmeric Curcumin 2250 mg took 1 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
093275 -               0000...
093276 -  ..
093277 -               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                                                                                                                                                                                                                                                                                  
093278 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093279 -               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                                                                                                                                                                                                                                                                                                                                                                                   
093280 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093281 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093282 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093283 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093284 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093285 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093286 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093287 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093290 -  ..
093291 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093292 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093294 -  ..
093295 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093296 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093297 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093298 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093299 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093300 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093302 -  ..
093303 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093304 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093306 -  ..
093307 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093308 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093309 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093311 -  ..
093312 - Reflux slept in recliner chair 50% to control aspiration, vomited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093313 - less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093319 -  ..
093320 - Kardia recorded HR 063 at 0805, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093321 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093322 - likely no AFL after hiking 18 miles temp 91 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093323 - ref SDS 0 7PO6, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093324 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093325 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093326 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093327 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093330 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093331 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260807-ecg-081431_mile_00_063_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093336 -  ..
093337 - Post hike HR profile beginning 2359, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093338 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093339 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093340 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093341 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093342 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093345 -        ..
093346 -       Date      260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
093347 -       Time       2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
093348 -       Hours         8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
093349 -       HR AVG       62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
093350 -       HR MAX       91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
093351 -       HR Min       37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
093352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093354 -              https://flow.polar.com/training/analysis/8395147973                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093356 -  ..
093357 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093360 -   
093361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093364 -  ..
093365 - Breakfast - eggs toast avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093366 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093367 - Dinner - hamburger onion cottage cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093369 -  ..
093370 - Vomiting: 10% - dinner bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093400 -         ..
093401 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093402 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093403 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093404 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093405 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093406 -  132.  260808 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093407 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093408 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
093409 -               0720....BP HR..................................................... 158  87  69  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093410 -               0725....BP HR..................................................... 167  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093411 -               0730....BP HR..................................................... 164  79  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093412 -               0735....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093413 -               0840....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093414 -               0840....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
093415 -               0000...
093416 -  ..
093417 -               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                                                                                                                                                                                                                                                                                  
093418 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093419 -               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                                                                                                                                                                                                                                                                                                                                                                                   
093420 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093421 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093422 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093423 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093424 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093425 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093426 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093427 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093430 -  ..
093431 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093432 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093434 -  ..
093435 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093436 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093437 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093438 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093439 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093440 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093442 -  ..
093443 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093444 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093446 -  ..
093447 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093448 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093449 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093451 -  ..
093452 - Reflux slept in recliner chair to control aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093459 -  ..
093460 - Kardia recorded HR 066 at 1134, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093461 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093462 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 LY68, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093463 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093464 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093465 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093466 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093469 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093470 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260808-ecg-113411_mile_00_066_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093475 -  ..
093476 - Post hike HR profile beginning 2219, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093477 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093478 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093479 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093480 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093481 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093484 -        ..
093485 -       Date      260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
093486 -       Time       2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
093487 -       Hours         9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
093488 -       HR AVG       65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
093489 -       HR MAX      128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
093490 -       HR Min       33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
093491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093493 -              https://flow.polar.com/training/analysis/8395828037                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093495 -  ..
093496 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093499 -   
093500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093503 -  ..
093504 - Breakfast - eggs toast avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093505 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093506 - Dinner - hamburger onion cottage cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093508 -  ..
093509 - Vomiting: 10% - dinner bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093539 -         ..
093540 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093541 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093542 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093543 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093544 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093545 -  132.  260809 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093546 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093547 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
093548 -               0720....BP HR..................................................... 145  74  54  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093549 -               0725....BP HR..................................................... 167  91  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093550 -               0730....BP HR..................................................... 157  73  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093551 -               0735....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093552 -               0735....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093553 -               0735....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
093554 -               0000...
093555 -  ..
093556 -               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                                                                                                                                                                                                                                                                                  
093557 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093558 -               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                                                                                                                                                                                                                                                                                                                                                                                   
093559 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093560 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093561 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093562 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093563 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093564 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093565 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093566 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093569 -  ..
093570 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093571 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093573 -  ..
093574 - Peripheral Neuropathy, restless legs and/or PAD has increased though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093575 - still with pain no longer in toes down to heels.  Symptoms have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093576 - increased pins and needles tingling in evening, when feet are elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093577 - in reclining chair.  Restless legs has occurred, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093578 - increased OA 260727, though paused 3 days ago -- odd.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093580 -  ..
093581 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093582 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093584 -  ..
093585 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093586 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093587 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093589 -  ..
093590 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093591 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093596 -  ..
093597 - Kardia recorded HR 048 at 0940, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093598 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093599 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093600 - ref SDS 0 6HZ8, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093601 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093602 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093603 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093604 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093607 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093608 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260809-ecg-094018_mile_00_048_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093613 -  ..
093614 - Post hike HR profile beginning 2005, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093615 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093616 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093617 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093618 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093619 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093622 -        ..
093623 -       Date      260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
093624 -       Time       2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
093625 -       Hours        11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
093626 -       HR AVG       64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
093627 -       HR MAX      137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
093628 -       HR Min       35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
093629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093631 -              https://flow.polar.com/training/analysis/8396497058                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093633 -  ..
093634 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093637 -   
093638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093641 -  ..
093642 - Breakfast - eggs toast avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093643 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093644 - Dinner - steak potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093646 -  ..
093647 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093677 -         ..
093678 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093679 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093680 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093681 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093682 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093683 -  132.  260810 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093684 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093685 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
093686 -               0730....BP HR..................................................... 153  89  44  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093687 -               0735....BP HR..................................................... 142  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093688 -               0740....BP HR..................................................... 144  77  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093689 -               0745....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093690 -               0745....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093691 -               0745....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
093692 -               0000...
093693 -  ..
093694 -               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                                                                                                                                                                                                                                                                                  
093695 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093696 -               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                                                                                                                                                                                                                                                                                                                                                                                   
093697 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093698 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093699 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093700 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093701 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093702 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093703 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093704 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093707 -  ..
093708 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093709 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093711 -  ..
093712 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093713 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093714 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093715 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093716 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093717 - 260727, for 6 days, then paused past week.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093719 -  ..
093720 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093721 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093723 -  ..
093724 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093725 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093726 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093728 -  ..
093729 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093730 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093736 -  ..
093737 - Kardia recorded HR 050 at 0801, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093738 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093739 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 8BRL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093740 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093741 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093742 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093743 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093746 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093747 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260810-ecg-080130_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093751 -  ..
093752 - Post hike HR profile beginning 1933, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093753 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093754 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093755 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093756 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093757 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093760 -        ..
093761 -       Date      260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
093762 -       Time       1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
093763 -       Hours        10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
093764 -       HR AVG       66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
093765 -       HR MAX       93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
093766 -       HR Min       38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
093767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093769 -              https://flow.polar.com/training/analysis/8397166515                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093771 -  ..
093772 - HRV seems  20% 0 and  40% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093775 -   
093776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093779 -  ..
093780 - Breakfast - eggs toast avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093781 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093782 - Dinner - hamburger potato broccoli onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093784 -  ..
093785 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093815 -         ..
093816 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093817 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093818 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093819 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093820 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093821 -  132.  260811 0530............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093822 -               0530....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093823 -               0535....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
093824 -               0540....BP HR..................................................... 158  89  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093825 -               0545....BP HR..................................................... 175  76  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093826 -               0550....BP HR..................................................... 163  65  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093827 -               0555....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093828 -               0715....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093829 -               0715....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
093830 -               0715... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093831 -               0715....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093832 -               0715....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093833 -               0715....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093834 -               0745....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093835 -               0745... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093836 -               0745....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
093837 -               0000...
093838 -  ..
093839 -               0753....miles...........  18.0  18.0  286   286 minutes  temp  85 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093840 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093841 -               1053....mile 10 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093842 -               1053....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093843 -               1053... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093844 -               1053... 02   CoQ10 Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093845 -               1053....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
093846 -     paused    1053... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093847 -               1053... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093848 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093849 -               1605... Hike ends mile 18... ref SDS 0 6R8E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093850 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093851 -               1620....weight.................................... 181  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093852 -               1628....BP HR..................................................... 130  79 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093853 -               1640....BP HR..................................................... 128  72  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093854 -               1646....BP HR..................................................... 125  79  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093855 -               0000...
093856 -  ..
093857 -               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                                                                                                                                                                                                                                                                                  
093858 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093859 -               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                                                                                                                                                                                                                                                                                                                                                                                   
093860 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093861 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093862 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093863 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093864 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093865 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093866 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093867 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093870 -  ..
093871 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093872 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093874 -  ..
093875 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093876 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093877 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093878 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093879 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093880 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093882 -  ..
093883 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093884 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093886 -  ..
093887 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093888 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093889 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093891 -  ..
093892 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093893 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093897 -  ..
093898 - Summary... continuing difficulty swallowing nutrition, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093899 - medications, due to bloating with aspiration, that has been occurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093900 - past week.  Occurred less stopping at mile 10, for EKG, meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093901 - nutrition - was able keep down most meds.  PL 2 most of hike wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093902 - new Brooks Glycerin 23 shoes received on 260730.  This morning, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093903 - hike took 1 Naproxen 500 mg capsule; at mile 10 needed only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093904 - Naproxen.  Heat in mid 80s was less factor limiting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093908 -         ..
093909 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093910 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093911 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
093912 -        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                                                                                                                                                                                                                                                                                                                                                                                         
093913 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093914 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093915 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093916 -        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                                                                                                                                                                                                                                                                                                                           
093917 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093918 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093919 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093920 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093921 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
093922 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093923 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
093924 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093925 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
093926 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093927 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093928 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093929 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093930 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
093931 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093932 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093933 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093934 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093935 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
093936 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093937 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093938 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093939 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093940 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093941 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093942 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093943 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093944 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093945 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093946 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093947 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093948 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093949 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
093950 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093951 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093952 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
093953 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
093954 -        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                                                                                                                                                                                                                                                                                                                           
093955 -        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                                                                                                                                                                                                                                                                                                                                                                                    
093956 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093957 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
093958 -        Callus big toe left foot...PRP 210705........   3         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
093959 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093960 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093961 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
093962 -        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                                                                                                                                                                                                                                                                                                                                           
093963 -        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                                                                                                                                                                                                                                                                                                                                           
093964 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093965 -        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                                                                                                                                                                                                                                                                                                                                                                                      
093966 -        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                                                                                                                                                                                                                                                                                                                                                                                        
093967 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
093968 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
093969 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093970 -        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                                                                                                                                                                                                                                                                                                                                                              
093971 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
093972 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
093973 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093974 -        Blister top foot at toe line right foot......   2         20  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093975 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
093976 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093977 -        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                                                                                                                                                                                                                                                                                          
093978 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
093979 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093980 -        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                                                                                                                                                                                                                                                                                                                                                                               
093981 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093982 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093983 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093984 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093985 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093986 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093987 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093988 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
093989 -        Wasted - very fatigued.......................   2         20  last 4 miles heat reached 92, had to end hike at 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093990 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093994 -  ..
093995 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093996 - Glycerin 23 shoes size 11.5 width 4E, received 260730.  Very good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093997 - again mostly PL 0.  After 7 hikes, getting pressure top metatarsals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093998 - mostly right foot.  Callus left foot #1 returning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094000 -  ..
094001 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094002 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094003 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094004 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094006 -  ..
094007 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094008 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094009 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094010 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094011 - yesterday on 260730 0900. ref SDS C9 5A4I  Callus injuries recurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094012 - left foot #1 including wrapping beneath the toe, and callus left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094013 - #5, and same on right foot, but possibly more slowly comparitively                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094014 - favorable result of better shoes and insets supported by expert care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094015 - Good news is that while the injury expresses pain in moments, the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094016 - foot, shoe, insert and socks somehow make adjustment that ends pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094017 - i.e., it just goes away.  If this is repeated with hiking restored to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094018 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094019 - on 260727, should recover > 60, along with EPCs and telomeres that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094020 - maintain good health, including recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094022 -  ..
094023 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094024 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094028 -  ..
094029 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094030 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094031 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094032 - and also left hip, which flares few times a month, but not for a month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094033 - or more.  Took 1 Naproxen 500 mg for pain management - cut in half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094034 - aid swallowing, there is no metatarsalgia pain in feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094035 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094036 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C9 5H6F; left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094037 - foot #1 #5 calluses growing again, possibly more slowly.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094038 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094039 - that enable hiking, and reduce inflammation, all enabling HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094040 - increase, and together with rising EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094041 - vessels - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094042 - capsules for energy, and took 2 Turmeric Curcumin 2250 mg pills that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094043 - resolve inflammation, essential for HDL to rise.  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094044 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094045 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094046 - easier when swallowed combined with chewed up food in mouth.  About 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094047 - minutes later, after dressing for hike, took liquid Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094048 - and Ubiquinol CoQ10 per above. ref SDS 0 UWCH  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094049 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094050 - giving human cells energy - see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094051 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094052 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094053 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094054 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094055 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094056 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094057 - injuries, e.g., calluses.  Did not feel well starting hike - increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094058 - bloating and left foot #1 PL 5.  Did mile loop around the block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094059 - start hike, which identifies bloating and feet wound issues that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094060 - be treated, before problems arise miles from home - bloating and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094061 - foot calmed.  Hiked Cuneo .25 mile and turned left, onto Treat - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094062 - not weak and slow this morning.  Steady hiking caused HDL 65 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094063 - 260302, but pausing lowered to HDL 51 last lab on 260727; daily hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094064 - since then elevated back to HDL 55 on 260806.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094065 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094066 - despite on and mostly off hiking last few months, albeit have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094067 - hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094068 - uphill to Cliff House and on Point Lobos for .25 mile returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094069 - hospital.  Started hike late in morning OA 1004, with temperature at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094070 - 75, and reached 92.  East wind 15 mph and mostly 10 mph, which was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094071 - cooling at times; in fact heat was debilitating last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094072 - Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094073 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094074 - some places 3% uphill, and very light traffic.  Maintained normal pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094075 - 15 minute miles.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094076 - today.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094077 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094078 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094079 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094080 - complex.  Stopped at Lucky store to buy banana with potassium that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094081 - complements meds for energy, and aids swallowing meds to slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094082 - tightening LESV, pending EGD dilation on 260821.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094083 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094084 - maintained - no need to stop at Mountain Mike's Pizza restaurant to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094085 - take meds for energy.  Turned right going West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094086 - using concrete sidewalk .5 miles.  Continued past Park Highlands Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094087 - at traffic stoplight and heading West .25 miles on very narrow asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094088 - shoulder next to high risk heavy morning commute traffic.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094089 - South side Ygnacio Valley Road hiking on wider shoulder past stoplight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094090 - at Michigan Boulevard.  Hiked another .25 miles to Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094091 - and store.  At mile 7, turned left onto Pine Hollow, - hiked East 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094092 - miles.  At Pine Hollow Middle School mile 8, turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094093 - back.  Turned right onto Ygnacio Valley Road, and hiked back .25 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094094 - Turned and hiked back stopping at Chevron gas station store mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094095 - time 1053, temp 73 and wind 08 mph; EKG looks mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094096 - minor artifact.  Kardia reported HR 107 Tachycardia, - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094097 - ref SDS 0 UGVK  Bloating PL 4, energy deficit PL 3, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094098 - metatarsalgia PL 2.  Left foot #1 PL 2 and #5 PL 0.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094099 - 0; top of #3, #4, #5 PL 0 feels better today, than past 3 weeks.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094100 - 1 Naproxen 500 mg total today 2 for pain.  Took 4 Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094101 - 300 mg pills - total today 8 - for energy, absorbing lactic acid, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094102 - research on 200101 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094103 - 2250 mg - total today 4 - to reduce inflammation.  Fortunate did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094104 - feel extremely bad, as on 260806; esophagus was filling up, but able                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094105 - to take 2 CoQ10 pills - total today 4 - to increase energy.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094106 - softdrink purchased from Chev store for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094107 - nutrition - banana purchased at Lucky store enables swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094108 - medication pills combined with bites of banana to slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094109 - now contracted due to achalasia, pending dilation procedure scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094110 - on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094111 - finish hike.  Took Nuun electrolyte pill, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094112 - GABE Was beginning to aspirate from build up above LESV.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094113 - hike heading East back on original route Ygnacio Valley Road.  Vomited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094114 - small about 10% of lunch.  Turned around before reaching Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094115 - Boulevard.  Hiked back and turned left heading East again on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094116 - Hollow.  At mile 12, near Pennyslvania Boulevard turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094117 - hiked back to Ygnacio.  Turned left hiking West on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094118 - Continued 1 mile West uphill 3% grade against wind 12 mph.  The road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094119 - bends North.  Turned left heading West on Ygnacio Valley road .50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094120 - mile.  Temperature 85 became a factor lowering energy.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094121 - Crystal Ranch Road on Ygnacio Valley road .5 mile uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094122 - against wind 15 mph - temp 85.  Feeling better than last week,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094123 - continued past Cowell.  At summit, hiked .5 mile back and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094124 - going North on Cowell .25 mile downhill 5% grade.  Continued .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094125 - with very narrow shoulder and no demarcation line separating vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094126 - traffic.  Turned left onto Treat for .25 mile; turned right on Cunio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094127 - and home.  Ended hike mile 18 time 1352 temp 86, wind 15, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094128 - 4, energy deficit 3, feet metatarsalgia PL 3, left foot #1 edge PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094129 - #5 edge PL 2, right foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094130 - burning sensation PL 0.  EKG sinus with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094131 - reported HR 115 Tachycardia - see below. ref SDS 0 6G2W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094145 -  ..
094146 - Kardia recorded HR 061 at 0549, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094147 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094148 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 6JML, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094149 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094150 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094151 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094152 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094155 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094156 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260811-ecg-054937_mile_00_061_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094162 -  ..
094163 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094164 - California, hike 18 miles with max temperature 85, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094165 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094166 - ..
094167 -                                                                                                                                                                                                                                                                                                              x
094168 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094169 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094170 -                     x      x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094171 -       Date          260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25040  
094172 -       Miles            18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
094173 -       HR AVG          111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
094174 -  **     MAX           139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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   repo  
094175 -         Min            69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81         
094176 -       El Climb Ft     570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678         
094177 -       Temp Max         85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64         
094178 -       Wind Max         15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12         
094179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094182 -              https://flow.polar.com/training/analysis/8397550047                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094185 -               ..
094187 -   
094188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094193 -  ..
094194 - EKG at mile 10 time 1053, HR 107 temp 73, wind 08; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094195 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094196 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094199 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094200 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260811-ecg-105356_mile_10_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094205 -  ..
094206 - End hike EKG at mile 18, time 1352 HR 115 temp 92, wind 16 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094207 - reported Tachycardia... looks like sinus mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094208 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094211 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094212 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260811-ecg-135224_mile_18_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094218 -  ..
094219 - Post hike HR profile beginning 2201, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094220 - hiking 18 miles with temperature 85, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094221 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094222 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094223 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094224 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094227 -        ..
094228 -       Date      260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
094229 -       Time       2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
094230 -       Hours        10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
094231 -       HR AVG       62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
094232 -       HR MAX      111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
094233 -       HR Min       40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
094234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094236 -              https://flow.polar.com/training/analysis/8398022361                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094238 -  ..
094239 - HRV seems  10% 0 and  30% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094242 -   
094243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094246 -  ..
094247 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094248 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094249 - Dinner - steak potato broccoli onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094251 -  ..
094252 - Vomiting: 10% lunch - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094284 -         ..
094285 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094286 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094287 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094288 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094289 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094290 -  132.  260812 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094291 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094292 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
094293 -               0720....BP HR..................................................... 163  68  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094294 -               0725....BP HR..................................................... 163  63  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094295 -               0730....BP HR..................................................... 152  64  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094296 -               0735....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094297 -               0735....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094298 -               0735....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
094299 -               0000...
094300 -  ..
094301 -               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                                                                                                                                                                                                                                                                                  
094302 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094303 -               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                                                                                                                                                                                                                                                                                                                                                                                   
094304 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094305 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094306 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094307 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094308 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094309 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094310 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094311 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094314 -  ..
094315 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094316 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094318 -  ..
094319 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094320 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094321 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094322 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094323 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094324 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094326 -  ..
094327 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094328 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094330 -  ..
094331 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094332 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094333 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094335 -  ..
094336 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094337 - aspiration, vomited none.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094344 -  ..
094345 - Kardia recorded HR 050 at 0923, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094346 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094347 - likely no AFL after hiking 18 miles temp 85 yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094348 - ref SDS 0 UWCH, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094349 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094350 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094351 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094352 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094355 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094356 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260812-ecg-092310_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094360 -  ..
094361 - Post hike HR profile beginning 2039, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094362 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094363 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094364 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094365 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094366 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094369 -        ..
094370 -       Date      260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  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    
094371 -       Time       2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            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     
094372 -       Hours        12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               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     
094373 -       HR AVG       66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              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     
094374 -       HR MAX      146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             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     
094375 -       HR Min       38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              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     
094376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094378 -              https://flow.polar.com/training/analysis/8398757787                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094380 -  ..
094381 - HRV seems  10% 0 and  30% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094384 -   
094385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094388 -  ..
094389 - Breakfast - eggs avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094390 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094391 - Dinner - macaroni cheese steak broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094393 -  ..
094394 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094426 -         ..
094427 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094428 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094429 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094430 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094431 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094432 -  132.  260813 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094433 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094434 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
094435 -               0720....BP HR..................................................... 163  68  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094436 -               0725....BP HR..................................................... 163  63  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094437 -               0730....BP HR..................................................... 152  64  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094438 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094439 -               0735....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094440 -               0735....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
094441 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094442 -               0000....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094443 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094444 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094445 -               0000....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094446 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094447 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
094448 -               0000...
094449 -  ..
094450 -               0753....miles...........  18.0  18.0  286   286 minutes  temp  85 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094451 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094452 -               1053....mile 10 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094453 -               1053....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094454 -               1053... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094455 -               1053... 02   CoQ10 Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094456 -               1053....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
094457 -     paused    1053... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094458 -               1053... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094459 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094460 -               1605... Hike ends mile 18... ref SDS 0 6R8E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094461 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094462 -               1620....weight.................................... 181  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094463 -               1628....BP HR..................................................... 130  79 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094464 -               1640....BP HR..................................................... 128  72  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094465 -               1646....BP HR..................................................... 125  79  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094466 -               0000...
094467 -  ..
094468 -               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                                                                                                                                                                                                                                                                                  
094469 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094470 -               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                                                                                                                                                                                                                                                                                                                                                                                   
094471 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094472 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094473 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094474 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094475 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094476 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094477 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094478 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094481 -  ..
094482 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094483 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094485 -  ..
094486 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094487 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094488 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094489 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094490 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094491 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094493 -  ..
094494 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094495 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094497 -  ..
094498 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094499 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094500 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094502 -  ..
094503 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094504 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094508 -  ..
094509 - Summary... continuing difficulty swallowing nutrition, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094510 - medications, due to bloating with aspiration, that has been occurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094511 - past week.  Occurred less stopping at mile 10, for EKG, meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094512 - nutrition - was able keep down most meds.  PL 2 most of hike wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094513 - new Brooks Glycerin 23 shoes received on 260730.  This morning, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094514 - hike took 1 Naproxen 500 mg capsule; at mile 10 needed only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094515 - Naproxen.  Heat in mid 80s was less factor limiting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094519 -         ..
094520 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094521 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094522 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
094523 -        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                                                                                                                                                                                                                                                                                                                                                                                         
094524 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094525 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094526 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094527 -        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                                                                                                                                                                                                                                                                                                                           
094528 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094529 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094530 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094531 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094532 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
094533 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094534 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
094535 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094536 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
094537 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094538 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094539 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094540 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094541 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
094542 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094543 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094544 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094545 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094546 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
094547 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094548 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094549 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094550 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094551 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094552 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094553 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094554 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094555 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094556 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094557 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094558 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094559 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094560 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
094561 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094562 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094563 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
094564 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
094565 -        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                                                                                                                                                                                                                                                                                                                           
094566 -        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                                                                                                                                                                                                                                                                                                                                                                                    
094567 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094568 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
094569 -        Callus big toe left foot...PRP 210705........   3         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
094570 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094571 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094572 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
094573 -        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                                                                                                                                                                                                                                                                                                                                           
094574 -        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                                                                                                                                                                                                                                                                                                                                           
094575 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094576 -        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                                                                                                                                                                                                                                                                                                                                                                                      
094577 -        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                                                                                                                                                                                                                                                                                                                                                                                        
094578 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
094579 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
094580 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094581 -        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                                                                                                                                                                                                                                                                                                                                                              
094582 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
094583 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
094584 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094585 -        Blister top foot at toe line right foot......   2         20  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094586 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
094587 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094588 -        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                                                                                                                                                                                                                                                                                          
094589 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
094590 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094591 -        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                                                                                                                                                                                                                                                                                                                                                                               
094592 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094593 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094594 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094595 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094596 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094597 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094598 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094599 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
094600 -        Wasted - very fatigued.......................   2         20  last 4 miles heat reached 92, had to end hike at 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094601 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094605 -  ..
094606 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094607 - Glycerin 23 shoes size 11.5 width 4E, received 260730.  Very good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094608 - again mostly PL 0.  After 7 hikes, getting pressure top metatarsals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094609 - mostly right foot.  Callus left foot #1 returning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094611 -  ..
094612 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094613 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094614 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094615 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094617 -  ..
094618 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094619 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094620 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094621 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094622 - yesterday on 260730 0900. ref SDS C9 5A4I  Callus injuries recurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094623 - left foot #1 including wrapping beneath the toe, and callus left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094624 - #5, and same on right foot, but possibly more slowly comparitively                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094625 - favorable result of better shoes and insets supported by expert care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094626 - Good news is that while the injury expresses pain in moments, the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094627 - foot, shoe, insert and socks somehow make adjustment that ends pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094628 - i.e., it just goes away.  If this is repeated with hiking restored to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094629 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094630 - on 260727, should recover > 60, along with EPCs and telomeres that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094631 - maintain good health, including recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094633 -  ..
094634 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094635 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094639 -  ..
094640 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094641 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094642 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094643 - and also left hip, which flares few times a month, but not for a month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094644 - or more.  Took 1 Naproxen 500 mg for pain management - cut in half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094645 - aid swallowing, there is no metatarsalgia pain in feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094646 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094647 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C9 5H6F; left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094648 - foot #1 #5 calluses growing again, possibly more slowly.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094649 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094650 - that enable hiking, and reduce inflammation, all enabling HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094651 - increase, and together with rising EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094652 - vessels - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094653 - capsules for energy, and took 2 Turmeric Curcumin 2250 mg pills that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094654 - resolve inflammation, essential for HDL to rise.  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094655 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094656 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094657 - easier when swallowed combined with chewed up food in mouth.  About 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094658 - minutes later, after dressing for hike, took liquid Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094659 - and Ubiquinol CoQ10 per above. ref SDS 0 UWCH  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094660 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094661 - giving human cells energy - see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094662 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094663 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094664 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094665 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094666 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094667 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094668 - injuries, e.g., calluses.  Did not feel well starting hike - increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094669 - bloating and left foot #1 PL 5.  Did mile loop around the block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094670 - start hike, which identifies bloating and feet wound issues that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094671 - be treated, before problems arise miles from home - bloating and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094672 - foot calmed.  Hiked Cuneo .25 mile and turned left, onto Treat - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094673 - not weak and slow this morning.  Steady hiking caused HDL 65 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094674 - 260302, but pausing lowered to HDL 51 last lab on 260727; daily hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094675 - since then elevated back to HDL 55 on 260806.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094676 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094677 - despite on and mostly off hiking last few months, albeit have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094678 - hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094679 - uphill to Cliff House and on Point Lobos for .25 mile returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094680 - hospital.  Started hike late in morning OA 1004, with temperature at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094681 - 75, and reached 92.  East wind 15 mph and mostly 10 mph, which was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094682 - cooling at times; in fact heat was debilitating last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094683 - Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094684 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094685 - some places 3% uphill, and very light traffic.  Maintained normal pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094686 - 15 minute miles.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094687 - today.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094688 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094689 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094690 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094691 - complex.  Stopped at Lucky store to buy banana with potassium that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094692 - complements meds for energy, and aids swallowing meds to slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094693 - tightening LESV, pending EGD dilation on 260821.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094694 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094695 - maintained - no need to stop at Mountain Mike's Pizza restaurant to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094696 - take meds for energy.  Turned right going West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094697 - using concrete sidewalk .5 miles.  Continued past Park Highlands Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094698 - at traffic stoplight and heading West .25 miles on very narrow asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094699 - shoulder next to high risk heavy morning commute traffic.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094700 - South side Ygnacio Valley Road hiking on wider shoulder past stoplight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094701 - at Michigan Boulevard.  Hiked another .25 miles to Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094702 - and store.  At mile 7, turned left onto Pine Hollow, - hiked East 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094703 - miles.  At Pine Hollow Middle School mile 8, turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094704 - back.  Turned right onto Ygnacio Valley Road, and hiked back .25 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094705 - Turned and hiked back stopping at Chevron gas station store mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094706 - time 1053, temp 73 and wind 08 mph; EKG looks mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094707 - minor artifact.  Kardia reported HR 107 Tachycardia, - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094708 - ref SDS 0 UGVK  Bloating PL 4, energy deficit PL 3, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094709 - metatarsalgia PL 2.  Left foot #1 PL 2 and #5 PL 0.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094710 - 0; top of #3, #4, #5 PL 0 feels better today, than past 3 weeks.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094711 - 1 Naproxen 500 mg total today 2 for pain.  Took 4 Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094712 - 300 mg pills - total today 8 - for energy, absorbing lactic acid, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094713 - research on 200101 0701. ref SDS 21 QP6L  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094714 - 2250 mg - total today 4 - to reduce inflammation.  Fortunate did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094715 - feel extremely bad, as on 260806; esophagus was filling up, but able                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094716 - to take 2 CoQ10 pills - total today 4 - to increase energy.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094717 - softdrink purchased from Chev store for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094718 - nutrition - banana purchased at Lucky store enables swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094719 - medication pills combined with bites of banana to slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094720 - now contracted due to achalasia, pending dilation procedure scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094721 - on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094722 - finish hike.  Took Nuun electrolyte pill, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094723 - GABE Was beginning to aspirate from build up above LESV.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094724 - hike heading East back on original route Ygnacio Valley Road.  Vomited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094725 - small about 10% of lunch.  Turned around before reaching Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094726 - Boulevard.  Hiked back and turned left heading East again on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094727 - Hollow.  At mile 12, near Pennyslvania Boulevard turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094728 - hiked back to Ygnacio.  Turned left hiking West on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094729 - Continued 1 mile West uphill 3% grade against wind 12 mph.  The road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094730 - bends North.  Turned left heading West on Ygnacio Valley road .50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094731 - mile.  Temperature 85 became a factor lowering energy.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094732 - Crystal Ranch Road on Ygnacio Valley road .5 mile uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094733 - against wind 15 mph - temp 85.  Feeling better than last week,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094734 - continued past Cowell.  At summit, hiked .5 mile back and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094735 - going North on Cowell .25 mile downhill 5% grade.  Continued .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094736 - with very narrow shoulder and no demarcation line separating vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094737 - traffic.  Turned left onto Treat for .25 mile; turned right on Cunio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094738 - and home.  Ended hike mile 18 time 1352 temp 86, wind 15, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094739 - 4, energy deficit 3, feet metatarsalgia PL 3, left foot #1 edge PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094740 - #5 edge PL 2, right foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094741 - burning sensation PL 0.  EKG sinus with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094742 - reported HR 115 Tachycardia - see below. ref SDS 0 6G2W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094756 -  ..
094757 - Kardia recorded HR 066 at 1125, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094758 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094759 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 LX7W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094760 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094761 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094762 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094763 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094766 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094767 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260813-ecg-112500_mile_00_066_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094773 -  ..
094774 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094775 - California, hike 18 miles with max temperature 85, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094776 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094777 - ..
094778 -                                                                                                                                                                                                                                                                                                              x
094779 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094780 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094781 -                     x      x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094782 -       Date          260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25040  
094783 -       Miles            18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
094784 -       HR AVG          111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
094785 -  **     MAX           139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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   repo  
094786 -         Min            69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81         
094787 -       El Climb Ft     570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678         
094788 -       Temp Max         85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64         
094789 -       Wind Max         15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12         
094790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094793 -              https://flow.polar.com/training/analysis/8397550047                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094796 -               ..
094798 -   
094799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094804 -  ..
094805 - EKG at mile 10 time 1053, HR 107 temp 73, wind 08; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094806 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094807 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094810 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094811 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260811-ecg-105356_mile_10_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094816 -  ..
094817 - End hike EKG at mile 18, time 1352 HR 115 temp 92, wind 16 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094818 - reported Tachycardia... looks like sinus mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094819 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094822 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094823 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260811-ecg-135224_mile_18_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094829 -  ..
094830 - Post hike HR profile beginning 2058, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094831 - hiking  0 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094832 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094833 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094834 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094835 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094838 -        ..
094839 -       Date      260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419    
094840 -       Time       2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013     
094841 -       Hours        10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7     
094842 -       HR AVG       63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63     
094843 -       HR MAX      136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     
094844 -       HR Min       38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39     
094845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094847 -              https://flow.polar.com/training/analysis/8399380758                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094849 -  ..
094850 - HRV seems  10% 0 and  50% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094853 -   
094854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094857 -  ..
094858 - Breakfast - cream of wheat rasins peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094859 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094860 - Dinner - macaroni cheese steak broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094862 -  ..
094863 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
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094885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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094888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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094893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094895 -         ..
094896 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094897 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094898 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094899 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094900 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094901 -  132.  260814 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094902 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094903 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
094904 -               0720....BP HR..................................................... 163  68  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094905 -               0725....BP HR..................................................... 163  63  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094906 -               0730....BP HR..................................................... 152  64  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094907 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094908 -               0825....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094909 -               0825....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
094910 -               0825... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094911 -               0825....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094912 -               0825....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094913 -    paused     0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094914 -               0910....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094915 -               0910... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094916 -               0910....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
094917 -               0000...
094918 -  ..
094919 -               0918....miles...........  25.0  32.0  389   675 minutes  temp  77 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094920 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094921 -               1242....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094922 -               1242....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094923 -               1242... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094924 -               1242... 02   CoQ10 Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094925 -               1242....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
094926 -               1242... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094927 -               1242... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094928 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094929 -               1659... Hike ends mile 25... ref SDS 0 7KSC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094930 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094931 -               1712....weight.................................... 181  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094932 -               1718....BP HR..................................................... 114  71 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094933 -               1722....BP HR.....................................................  97  62  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094934 -               1730....BP HR..................................................... 131  69  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094935 -               0000...
094936 -  ..
094937 -               1730... 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                                                                                                                                                                                                                                                                                  
094938 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094939 -               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                                                                                                                                                                                                                                                                                                                                                                                   
094940 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094941 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094942 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094943 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094944 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094945 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094946 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094947 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094950 -  ..
094951 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094952 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094954 -  ..
094955 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094956 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094957 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094958 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094959 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094960 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094962 -  ..
094963 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094964 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094966 -  ..
094967 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094968 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094969 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094971 -  ..
094972 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094973 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094977 -  ..
094978 - Summary... continuing difficulty swallowing nutrition, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094979 - medications, due to bloating with aspiration, that has been occurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094980 - past week or so.  Occurred less stopping at mile 12, for EKG, meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094981 - nutrition - was able keep down most meds.  Had noticable arrythmia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094982 - episode immediately when hiking resumed on Ygnacio.  After less than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094983 - 100 yards, cardio instantly spiked from HR 94 to HR 165 then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094984 - immediatly dropped to 119.  This was not noticed at the time, similar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094985 - to hike on 260803, when AFL occurred for 10 minutes or so, also, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094986 - Ygnacio, per above. ref SDS 0 DY1Q  After about .25 mile stopped and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094987 - hiked back to Chevron for water to take electrolyte pill.  Polar shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094988 - on turning around cardio again spiked momentairly to HR 159; then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094989 - dropped to HR 114.  At Chevron store just getting water from dispenser                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094990 - HR 91 reported.  Chevron offered a cup and water.  Took the pill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094991 - paused outside.  Swallowed water to help disolve electrolyte pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094992 - 3 or so minutes.  Hike resumed with normal HR aligned with elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094993 - changes to end of hike, see Polar GPS/HR data, below. ref SDS 0 7AXH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094997 -         ..
094998 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094999 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095000 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
095001 -        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                                                                                                                                                                                                                                                                                                                                                                                         
095002 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095003 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095004 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095005 -        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                                                                                                                                                                                                                                                                                                                           
095006 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095007 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095008 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095009 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095010 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
095011 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095012 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
095013 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095014 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
095015 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095016 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095017 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095018 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095019 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
095020 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095021 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095022 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095023 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095024 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
095025 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095026 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095027 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095028 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095029 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095030 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095031 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095032 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095033 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095034 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095035 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095036 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095037 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095038 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
095039 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095040 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095041 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
095042 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
095043 -        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                                                                                                                                                                                                                                                                                                                           
095044 -        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                                                                                                                                                                                                                                                                                                                                                                                    
095045 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095046 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
095047 -        Callus big toe left foot...PRP 210705........   3         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
095048 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095049 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095050 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
095051 -        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                                                                                                                                                                                                                                                                                                                                           
095052 -        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                                                                                                                                                                                                                                                                                                                                           
095053 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095054 -        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                                                                                                                                                                                                                                                                                                                                                                                      
095055 -        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                                                                                                                                                                                                                                                                                                                                                                                        
095056 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
095057 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
095058 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095059 -        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                                                                                                                                                                                                                                                                                                                                                              
095060 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
095061 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
095062 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095063 -        Blister top foot at toe line right foot......   2         20  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095064 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
095065 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095066 -        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                                                                                                                                                                                                                                                                                          
095067 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
095068 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095069 -        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                                                                                                                                                                                                                                                                                                                                                                               
095070 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095071 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095072 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095073 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095074 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095075 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095076 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095077 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
095078 -        Wasted - very fatigued.......................   2         20  last 4 miles heat reached 92, had to end hike at 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095079 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095083 -  ..
095084 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095085 - Glycerin 23 shoes size 11.5 width 4E, received 260730.  Very good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095086 - again mostly PL 0.  After 7 hikes, getting pressure top metatarsals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095087 - mostly right foot.  Callus left foot #1 returning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095089 -  ..
095090 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095091 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095092 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095093 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095095 -  ..
095096 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095097 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095098 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095099 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095100 - yesterday on 260730 0900. ref SDS C9 5A4I  Callus injuries recurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095101 - left foot #1 including wrapping beneath the toe, and callus left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095102 - #5, and same on right foot, but possibly more slowly comparitively                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095103 - favorable result of better shoes and insets supported by expert care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095104 - Good news is that while the injury expresses pain in moments, the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095105 - foot, shoe, insert and socks somehow make adjustment that ends pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095106 - i.e., it just goes away.  If this is repeated with hiking restored to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095107 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095108 - on 260727, should recover > 60, along with EPCs and telomeres that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095109 - maintain good health, including recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095111 -  ..
095112 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095113 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095117 -  ..
095118 - Concord 25 mile route - Did not take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095119 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095120 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095121 - and also left hip, which flares few times a month, but not for a month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095122 - or more.  Today, left knee flared PL 3 20%, left hip flared PL 2 10%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095123 - so likely should have taken GC - take next hike.  Took 1 Naproxen 500                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095124 - mg for pain management - cut in half to aid swallowing, there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095125 - metatarsalgia pain in feet starting hike today, and both feet #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095126 - #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095127 - Podiatry on 260730 0900, ref SDS C9 5H6F; left foot #1 #5 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095128 - growing again, possibly more slowly.  Took 4 Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095129 - pills for cellular energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095130 - inflammation, all to enable hiking that increases HDL and EPCs which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095131 - together regress plaque in blood vessel - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095132 - ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy - CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095133 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095134 - giving human cells energy, and protects heart tissue from harmful free                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095135 - radicals and stress - see case study on 200101 0701. ref SDS 21 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095136 - Took 2 Turmeric Curcumin 2250 mg pills to resolve inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095137 - essential for HDL to rise - see again case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095138 - ref SDS 21 NKSY  Swallowed pills separately (1 at a time) and whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095139 - combined with small amount avocado, mayonaise, peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095140 - margarine - pills slip through LESV easier when swallowed combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095141 - with chewed up food in mouth.  About 20 minutes later, after dressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095142 - for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095143 - ref SDS 0 7URP  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095144 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095145 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095146 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095147 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095148 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095149 - injuries, e.g., calluses.  Did not feel well starting hike - increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095150 - bloating and within .25 mile left foot #1 PL 5.  Did mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095151 - the block to start hike, which identifies bloating and feet wound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095152 - issues that can be treated, before problems arise miles from home -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095153 - bloating and left foot calmed.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095154 - onto Treat - was not weak and slow this morning.  Steady hiking caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095155 - HDL 65 on 260302, but pausing lowered to HDL 51 last lab on 260727;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095156 - daily hiking since then elevated back to HDL 55 on 260806 0901.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095157 - ref SDS D0 UE6H  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095158 - indicating conditioning has sustained, despite on and mostly off                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095159 - hiking last few months, albeit have not been hiking Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095160 - Road, resulting in dyspnea hiking 1 mile uphill to Cliff House and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095161 - Point Lobos returning to hospital, per above on 260727. ref SDS 0 9SAH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095162 - Started hike in morning OA 0918, with temperature at 63, and reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095163 - 77.  East wind 15 mph and mostly 12 mph.  Much cooler temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095164 - enabled hiking nearly 40% longer distance today.  Continued East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095165 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095166 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095167 - uphill, and very light traffic.  Maintained normal pace 15 minute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095168 - miles.  Hiked across Newhall Community park and back today.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095169 - on Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095170 - turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095171 - At mile 5, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095172 - asphalt pavement in parking lots of shopping complex.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095173 - Lucky store to buy banana with potassium that complements meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095174 - energy, and aids swallowing meds to slip through tightening LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095175 - pending EGD dilation on 260821.  Crossed Alberto Way at traffic light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095176 - and continued on concrete sidewalk .5 miles.  Energy maintained - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095177 - need to stop at Mountain Mike's Pizza restaurant to take meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095178 - energy deficit caused by dysfunctional ANS.  Turned right going West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095179 - on Ygnacio Valley Road still using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095180 - Continued past Park Highlands Road at traffic stoplight and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095181 - West .25 miles on very narrow asphalt shoulder next to high risk heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095182 - morning commute traffic.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095183 - hiking on wider shoulder past stoplight at Michigan Boulevard.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095184 - another .25 miles to Chevron gas station and store.  At mile 7, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095185 - left onto Pine Hollow, - hiked East 2.5 miles.  At end of Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095186 - turned around and hiked back.  Turned right onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095187 - Stopped at Chevron gas station store mile 12, time 1234, temp 72 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095188 - wind 12 mph; EKG looks mostly uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095189 - reported HR 117 Tachycardia, - see below. ref SDS 0 V3G7  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095190 - 3, energy deficit PL 2, both feet metatarsalgia PL 2.  Left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095191 - 2 and #5 PL 2.  Right foot #5 PL 2; top of #3, #4, #5 PL 0 still feels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095192 - better today, than past 3 weeks.  Took 1 Naproxen 500 mg total today 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095193 - for pain.  Took 4 Magnesium complex 300 mg pills - total today 8 Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095194 - 2 Turmeric Curcumin 2250 mg - total today 4.  Fortunate did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095195 - extremely bad, as on 260806; esophagus was filling up, but able to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095196 - take 2 CoQ10 pills - total today 4 - to increase energy.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095197 - softdrink purchased from Chev store for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095198 - nutrition - banana purchased at Lucky store enables swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095199 - medication pills combined with bites of banana to slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095200 - now contracted due to achalasia, pending dilation procedure scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095201 - on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095202 - finish hike.  Took Nuun electrolyte pill, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095203 - NK87  Was beginning to aspirate from build up above LESV.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095204 - hike heading East on Pine Hollow again.  Polar reports after standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095205 - up and walking less than 100 yards, cardio instantly spiked from HR 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095206 - to HR 165 then immediatly dropped to 119.  This was not noticed at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095207 - time, similar to hike on 260803, when AFL occurred for 10 minutes or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095208 - so on Ygnacio Valley Road, per above. ref SDS 0 DY1Q  After about .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095209 - mile stopped and hiked back to Chevron for water to take electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095210 - pill.  Polar shows on stopping and turning around cardio again spiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095211 - momentairly to HR 159; on heading back this dropped to HR 114.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095212 - Chevron store just getting water from dispenser HR 91 reported.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095213 - Chevron offered a cup and water.  Took the pill and paused outside.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095214 - Swallowed water to help disolve electrolyte pill for 3 or so minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095215 - Hike resumed with normal HR aligned with elevation changes to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095216 - hike.  On leaving Chevron turned onto Pine Hollow .25 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095217 - turned around and went back, and turned left heading West on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095218 - Drive.  Continued 1 mile West uphill 3% grade against wind 15 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095219 - The road bends North.  Turned left heading West on Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095220 - .50 mile.  Temperature < 80 became a factor that did not reduce hiking
095221 - energy.  At Crystal Ranch Road, turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095222 - onto Campus Drive again and hiked uphill 4% grade .3 mile.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095223 - Visitor Parking California State University East Bay Concord Campus -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095224 - mile 15.  Hiked 3 loops around main buildings - used exercise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095225 - equipment at back of buildings to do 20 partial pullups and pushups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095226 - each pass.  Back at Visitor Parking mile 17, hiked loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095227 - Faculty and Student parking lots.  At mile 21, left the college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095228 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095229 - Valley Road.  Hiked West on flat grade .5 miles.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095230 - Crystal Ranch Road heading West on Ygnacio Valley road .5 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095231 - 3% grade against wind 15 mph - temp 77.  Feeling well, continued on up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095232 - to summit.  Turned around going .5 mile back.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095233 - going .25 mile downhill 5% grade.  Continued .25 mile flat grade, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095234 - .5 mile downhill 3% grade with no shoulder separating narrow commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095235 - traffic lane.  Turned left onto Treat .25 mile; turned right on Cunio.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095236 - Went .25 mile North and turned around at Kaski; back .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095237 - home.  Ended hike mile 25 time 1659 temp 75, wind 13, bloating PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095238 - energy deficit 0, feet metatarsalgia PL 3, left foot #1 edge PL 3, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095239 - edge PL 3, right foot #1 PL 0, #5 PL 2, top #3, #4 blistering PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095240 - burning sensation PL 0.  EKG sinus with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095241 - HR 120 Tachycardia - see below. ref SDS 0 7KSC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095256 -  ..
095257 - Kardia recorded HR 047 at 0747, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095258 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095259 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 LX7W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095260 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095261 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095262 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095263 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095266 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095267 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260814-ecg-074722_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095273 -  ..
095274 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095275 - California, hike 25 miles with max temperature 77, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095276 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095277 - ..
095278 -                                                                                                                                                                                                                                                                                                              x
095279 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095280 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095281 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095282 -       Date          260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25040  
095283 -       Miles            25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
095284 -       HR AVG          117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
095285 -  **     MAX           166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
095286 -         Min            83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64  
095287 -       El Climb Ft     860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431  
095288 -       Temp Max         77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73  
095289 -       Wind Max         15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14  
095290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095293 -              https://flow.polar.com/training/analysis/8399662704                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095296 -               ..
095298 -   
095299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095304 -  ..
095305 - EKG at mile 12 time 1242, HR 117 temp 72, wind 12; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095306 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095307 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095310 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095311 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260814-ecg-124234_mile_12_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095316 -  ..
095317 - End hike EKG at mile 25, time 1659 HR 120 temp 75, wind 13 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095318 - reported Tachycardia... looks like sinus mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095319 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095322 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095323 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260814-ecg-165921_mile_25_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095329 -  ..
095330 - Post hike HR profile beginning 2142, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095331 - hiking 25 miles with temperature 77, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095332 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095333 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095334 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095335 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095338 -        ..
095339 -       Date      260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420    
095340 -       Time       2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308     
095341 -       Hours        10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9     
095342 -       HR AVG       65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59     
095343 -       HR MAX      134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     
095344 -       HR Min       41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38     
095345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095347 -              https://flow.polar.com/training/analysis/8400104855                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095349 -  ..
095350 - HRV seems  20% 0 and  40% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095353 -   
095354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095357 -  ..
095358 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095359 - Lunch - banana with hiking meds - HR elevated > 160 twice after lunch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095360 - Dinner - eggs macaroni cheese steak broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095362 -  ..
095363 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095395 -         ..
095396 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095397 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095398 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095399 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095400 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095401 -  132.  260815 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095402 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095403 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
095404 -               0720....BP HR..................................................... 138  66  52  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095405 -               0725....BP HR..................................................... 162  69  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095406 -               0730....BP HR..................................................... 163  77  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095407 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095408 -               0825....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095409 -               0825....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
095410 -               0000...
095411 -  ..
095412 -               1730... 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                                                                                                                                                                                                                                                                                  
095413 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
095414 -               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                                                                                                                                                                                                                                                                                                                                                                                   
095415 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095416 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095417 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095418 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095419 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095420 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095421 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095422 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095425 -  ..
095426 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095427 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095429 -  ..
095430 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095431 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095432 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095433 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095434 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095435 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095437 -  ..
095438 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095439 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095441 -  ..
095442 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095443 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095444 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095446 -  ..
095447 - Reflux slept in bed 40%, and in recliner chair 60% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095448 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095453 -  ..
095454 - Kardia recorded HR 070 at 1948, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095455 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095456 - hiking 00 miles temp __ yesterday, per above, ref SDS 0 7URP, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095457 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095458 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095459 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095460 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095463 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095464 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260815-ecg-194814_mile_00_070_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095468 -  ..
095469 - Post hike HR profile beginning 1945, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095470 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095471 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095472 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095473 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095474 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095477 -        ..
095478 -       Date      260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421    
095479 -       Time      19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350     
095480 -       Hours        12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9     
095481 -       HR AVG       61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67     
095482 -       HR MAX      119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     
095483 -       HR Min       33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35     
095484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095486 -              https://flow.polar.com/training/analysis/8400818178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095488 -  ..
095489 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095492 -   
095493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095496 -  ..
095497 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095498 - Lunch - hamburger cottage cheese tomato onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095499 - Dinner - macaroni cheese steak broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095501 -  ..
095502 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095534 -         ..
095535 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095536 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095537 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095538 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095539 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095540 -  132.  260816 0705............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095541 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095542 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
095543 -               0720....BP HR..................................................... 166  75  73  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095544 -               0725....BP HR..................................................... 161  64  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095545 -               0730....BP HR..................................................... 152  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095546 -               0735....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095547 -               0000....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095548 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
095549 -               0000... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095550 -               0000....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095551 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095552 -    paused     0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095553 -               0000....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095554 -               0000... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095555 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
095556 -               0000...
095557 -  ..
095558 -               0918....miles...........  25.0  32.0  389   675 minutes  temp  77 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095559 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095560 -               1242....mile 10 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095561 -               1242....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095562 -               1242... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095563 -               1242... 02   CoQ10 Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095564 -               1242....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
095565 -               1242... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095566 -               1242... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095567 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095568 -               1659... Hike ends mile 25... ref SDS 0 7KSC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095569 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095570 -               1712....weight.................................... 181  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095571 -               1718....BP HR..................................................... 114  71 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095572 -               1722....BP HR.....................................................  97  62  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095573 -               1730....BP HR..................................................... 131  69  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095574 -               0000...
095575 -  ..
095576 -               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                                                                                                                                                                                                                                                                                  
095577 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
095578 -               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                                                                                                                                                                                                                                                                                                                                                                                   
095579 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095580 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095581 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095582 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095583 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095584 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095585 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095586 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095589 -  ..
095590 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095591 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095593 -  ..
095594 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095595 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095596 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095597 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095598 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095599 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095601 -  ..
095602 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095603 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095605 -  ..
095606 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095607 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095608 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095610 -  ..
095611 - Reflux slept in bed 40%, and in recliner chair 60% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095612 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095616 -  ..
095617 - Summary... continuing difficulty swallowing nutrition, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095618 - medications, due to bloating with aspiration, that has been occurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095619 - past week.  Occurred less stopping at mile 10, for EKG, meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095620 - nutrition - was able keep down most meds.  PL 2 most of hike wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095621 - new Brooks Glycerin 23 shoes received on 260730.  This morning, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095622 - hike took 1 Naproxen 500 mg capsule; at mile 10 needed only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095623 - Naproxen.  Heat in mid 80s was less factor limiting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095627 -         ..
095628 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095629 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095630 -        Stomach pain bloating - unstable ANS.........   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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
095631 -        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                                                                                                                                                                                                                                                                                                                                                                                         
095632 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095633 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095634 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095635 -        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                                                                                                                                                                                                                                                                                                                           
095636 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095637 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095638 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095639 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095640 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
095641 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095642 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
095643 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095644 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
095645 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095646 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095647 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095648 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095649 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
095650 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095651 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095652 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095653 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095654 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
095655 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095656 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095657 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095658 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095659 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095660 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095661 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095662 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095663 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095664 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095665 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095666 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095667 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095668 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
095669 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095670 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095671 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
095672 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
095673 -        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                                                                                                                                                                                                                                                                                                                           
095674 -        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                                                                                                                                                                                                                                                                                                                                                                                    
095675 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095676 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
095677 -        Callus big toe left foot...PRP 210705........   3         30  some healing after peeled large section on 260719 after taking Turmeric Curcumin - will take a few days for wound to heal.                                                                                                                                                                                                                                                                                                                                                                                                                   
095678 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095679 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095680 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
095681 -        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                                                                                                                                                                                                                                                                                                                                           
095682 -        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                                                                                                                                                                                                                                                                                                                                           
095683 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095684 -        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                                                                                                                                                                                                                                                                                                                                                                                      
095685 -        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                                                                                                                                                                                                                                                                                                                                                                                        
095686 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
095687 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
095688 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095689 -        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                                                                                                                                                                                                                                                                                                                                                              
095690 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
095691 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
095692 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095693 -        Blister top foot at toe line right foot......   2         20  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095694 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
095695 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095696 -        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                                                                                                                                                                                                                                                                                          
095697 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
095698 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095699 -        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                                                                                                                                                                                                                                                                                                                                                                               
095700 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095701 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095702 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095703 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095704 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095705 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095706 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095707 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
095708 -        Wasted - very fatigued.......................   2         20  last 4 miles heat reached 92, had to end hike at 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095709 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095713 -  ..
095714 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095715 - Glycerin 23 shoes size 11.5 width 4E, received 260730.  Very good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095716 - again mostly PL 0.  After 7 hikes, getting pressure top metatarsals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095717 - mostly right foot.  Callus left foot #1 returning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095719 -  ..
095720 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095721 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095722 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095723 - ref SDS C8 LJHN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095725 -  ..
095726 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095727 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095728 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095729 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095730 - yesterday on 260730 0900. ref SDS C9 5A4I  Callus injuries recurring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095731 - left foot #1 including wrapping beneath the toe, and callus left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095732 - #5, and same on right foot, but possibly more slowly comparitively                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095733 - favorable result of better shoes and insets supported by expert care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095734 - Good news is that while the injury expresses pain in moments, the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095735 - foot, shoe, insert and socks somehow make adjustment that ends pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095736 - i.e., it just goes away.  If this is repeated with hiking restored to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095737 - therapeutic levels in days, weeks, months ahead, then HDL 51 reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095738 - on 260727, should recover > 60, along with EPCs and telomeres that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095739 - maintain good health, including recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095741 -  ..
095742 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095743 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095747 -  ..
095748 - Concord 25 mile route - Did not take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095749 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095750 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095751 - and also left hip, which flares few times a month, but not for a month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095752 - or more.  Today, left knee flared PL 3 20%, left hip flared PL 2 10%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095753 - so likely should have taken GC - take next hike.  Took 1 Naproxen 500                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095754 - mg for pain management - cut in half to aid swallowing, there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095755 - metatarsalgia pain in feet starting hike today, and both feet #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095756 - #5 calluses both PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095757 - Podiatry on 260730 0900, ref SDS C9 5H6F; left foot #1 #5 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095758 - growing again, possibly more slowly.  Took 4 Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095759 - pills for cellular energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095760 - inflammation, all to enable hiking that increases HDL and EPCs which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095761 - together regress plaque in blood vessel - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095762 - ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy - CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095763 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095764 - giving human cells energy, and protects heart tissue from harmful free                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095765 - radicals and stress - see case study on 200101 0701. ref SDS 21 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095766 - Took 2 Turmeric Curcumin 2250 mg pills to resolve inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095767 - essential for HDL to rise - see again case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095768 - ref SDS 21 NKSY  Swallowed pills separately (1 at a time) and whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095769 - combined with small amount avocado, mayonaise, peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095770 - margarine - pills slip through LESV easier when swallowed combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095771 - with chewed up food in mouth.  About 20 minutes later, after dressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095772 - for hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095773 - ref SDS 0 7URP  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095774 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095775 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095776 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095777 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095778 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095779 - injuries, e.g., calluses.  Did not feel well starting hike - increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095780 - bloating and within .25 mile left foot #1 PL 5.  Did mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095781 - the block to start hike, which identifies bloating and feet wound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095782 - issues that can be treated, before problems arise miles from home -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095783 - bloating and left foot calmed.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095784 - onto Treat - was not weak and slow this morning.  Steady hiking caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095785 - HDL 65 on 260302, but pausing lowered to HDL 51 last lab on 260727;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095786 - daily hiking since then elevated back to HDL 55 on 260806 0901.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095787 - ref SDS D0 UE6H  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095788 - indicating conditioning has sustained, despite on and mostly off                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095789 - hiking last few months, albeit have not been hiking Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095790 - Road, resulting in dyspnea hiking 1 mile uphill to Cliff House and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095791 - Point Lobos returning to hospital, per above on 260727. ref SDS 0 9SAH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095792 - Started hike in morning OA 0918, with temperature at 63, and reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095793 - 77.  East wind 15 mph and mostly 12 mph.  Much cooler temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095794 - enabled hiking nearly 40% longer distance today.  Continued East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095795 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095796 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095797 - uphill, and very light traffic.  Maintained normal pace 15 minute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095798 - miles.  Hiked across Newhall Community park and back today.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095799 - on Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095800 - turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095801 - At mile 5, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095802 - asphalt pavement in parking lots of shopping complex.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095803 - Lucky store to buy banana with potassium that complements meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095804 - energy, and aids swallowing meds to slip through tightening LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095805 - pending EGD dilation on 260821.  Crossed Alberto Way at traffic light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095806 - and continued on concrete sidewalk .5 miles.  Energy maintained - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095807 - need to stop at Mountain Mike's Pizza restaurant to take meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095808 - energy deficit caused by dysfunctional ANS.  Turned right going West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095809 - on Ygnacio Valley Road still using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095810 - Continued past Park Highlands Road at traffic stoplight and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095811 - West .25 miles on very narrow asphalt shoulder next to high risk heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095812 - morning commute traffic.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095813 - hiking on wider shoulder past stoplight at Michigan Boulevard.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095814 - another .25 miles to Chevron gas station and store.  At mile 7, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095815 - left onto Pine Hollow, - hiked East 2.5 miles.  At end of Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095816 - turned around and hiked back.  Turned right onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095817 - Stopped at Chevron gas station store mile 12, time 1234, temp 72 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095818 - wind 12 mph; EKG looks mostly uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095819 - reported HR 117 Tachycardia, - see below. ref SDS 0 V3G7  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095820 - 3, energy deficit PL 2, both feet metatarsalgia PL 2.  Left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095821 - 2 and #5 PL 2.  Right foot #5 PL 2; top of #3, #4, #5 PL 0 still feels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095822 - better today, than past 3 weeks.  Took 1 Naproxen 500 mg total today 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095823 - for pain.  Took 4 Magnesium complex 300 mg pills - total today 8 Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095824 - 2 Turmeric Curcumin 2250 mg - total today 4.  Fortunate did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095825 - extremely bad, as on 260806; esophagus was filling up, but able to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095826 - take 2 CoQ10 pills - total today 4 - to increase energy.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095827 - softdrink purchased from Chev store for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095828 - nutrition - banana purchased at Lucky store enables swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095829 - medication pills combined with bites of banana to slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095830 - now contracted due to achalasia, pending dilation procedure scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095831 - on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095832 - finish hike.  Took Nuun electrolyte pill, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095833 - NK87  Was beginning to aspirate from build up above LESV.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095834 - hike heading East on Pine Hollow again.  Polar reports after standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095835 - up and walking less than 100 yards, cardio instantly spiked from HR 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095836 - to HR 165 then immediatly dropped to 119.  This was not noticed at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095837 - time, similar to hike on 260803, when AFL occurred for 10 minutes or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095838 - so on Treat, per above. ref SDS 0 DY1Q  After about .25 mile stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095839 - and hiked back to Chevron for water to take electrolyte pill.  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095840 - shows on stopping and turning around cardio again spiked momentairly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095841 - to HR 159; on heading back this dropped to HR 114.  At Chevron store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095842 - just getting water from dispenser HR 91 reported.  Chevron offered a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095843 - cup and water.  Took the pill and paused outside.  Swallowed water to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095844 - help disolve electrolyte pill for 3 or so minutes.  Hike resumed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095845 - normal HR aligned with elevation changes to end of hike.  On leaving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095846 - Chevron turned onto Pine Hollow .25 mile, then turned around and went                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095847 - back, and turned left heading West on Campus Drive.  Continued 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095848 - West uphill 3% grade against wind 15 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095849 - Turned left heading West on Ygnacio Valley road .50 mile.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095850 - < 80 became a factor that did not reduce hiking energy.  At Crystal
095851 - Ranch Road, turned around and hiked back.  Turned onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095852 - again and hiked uphill 4% grade .3 mile.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095853 - California State University East Bay Concord Campus - mile 15.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095854 - 3 loops around main buildings - used exercise equipment at back of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095855 - buildings to do 20 partial pullups and pushups each pass.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095856 - Visitor Parking mile 17, hiked loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095857 - parking lots.  At mile 21, left the college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095858 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095859 - flat grade .5 miles.  Continued past Crystal Ranch Road heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095860 - on Ygnacio Valley road .5 mile uphill 3% grade against wind 15 mph -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095861 - temp 77.  Feeling well, continued on up to summit.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095862 - going .5 mile back.  Turned left onto Cowell going .25 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095863 - 5% grade.  Continued .25 mile flat grade, then .5 mile downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095864 - grade with no shoulder separating narrow commute traffic lane.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095865 - left onto Treat .25 mile; turned right on Cunio.  Went .25 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095866 - and turned around at Kaski; back .25 mile and home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095867 - 25 time 1659 temp 75, wind 13, bloating PL 3, energy deficit 0, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095868 - metatarsalgia PL 3, left foot #1 edge PL 3, #5 edge PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095869 - #1 PL 0, #5 PL 2, top #3, #4 blistering PL 2, burning sensation PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095870 - EKG sinus with no artifact, Kardia reported HR 120 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095871 - below. ref SDS 0 7KSC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095886 -  ..
095887 - Kardia recorded HR 065 at 1025, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095888 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095889 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095890 - ref SDS 0 68Z5, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095891 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095892 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095893 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095894 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095897 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095898 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260816-ecg-102551_mile_00_065_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095904 -  ..
095905 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095906 - California, hike 25 miles with max temperature 77, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095907 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095908 - ..
095909 -                                                                                                                                                                                                                                                                                                              x
095910 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095911 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095912 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095913 -       Date          260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25040  
095914 -       Miles            25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
095915 -       HR AVG          117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
095916 -  **     MAX           166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
095917 -         Min            83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64  
095918 -       El Climb Ft     860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431  
095919 -       Temp Max         77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73  
095920 -       Wind Max         15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14  
095921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095924 -              https://flow.polar.com/training/analysis/8399662704                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095927 -               ..
095929 -   
095930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095935 -  ..
095936 - EKG at mile 12 time 1242, HR 117 temp 72, wind 12; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095937 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095938 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095941 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095942 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260814-ecg-124234_mile_12_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095947 -  ..
095948 - End hike EKG at mile 25, time 1659 HR 120 temp 75, wind 13 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095949 - reported Tachycardia... looks like sinus mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095950 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095953 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095954 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260814-ecg-165921_mile_25_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095960 -  ..
095961 - Post hike HR profile beginning 1945, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095962 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095963 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095964 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095965 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095966 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095969 -        ..
095970 -       Date      260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422    
095971 -       Time      19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944     
095972 -       Hours        12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11     
095973 -       HR AVG       61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63     
095974 -       HR MAX      120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     
095975 -       HR Min       37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38     
095976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095978 -              https://flow.polar.com/training/analysis/8401379049                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095980 -  ..
095981 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095984 -   
095985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095988 -  ..
095989 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095990 - Lunch - hamburger broccoli onion cottge cheese - at half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095991 - Dinner - eggs hamburger broccoli onion cottge cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095993 -  ..
095994 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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096018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096027 -         ..
096028 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096029 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096030 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096031 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096032 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096033 -  132.  260817 0700............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096034 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096035 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
096036 -               0720....BP HR..................................................... 161  81  47  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096037 -               0725....BP HR..................................................... 162  73  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096038 -               0730....BP HR..................................................... 169  79  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096039 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096040 -               0830....Magnesium 300 mg 4 Pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096041 -               0830....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
096042 -               0830... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096043 -               0830....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096044 -               0830....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096045 -    paused     0830....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096046 -               0905....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096047 -               0905... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096048 -               0905....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
096049 -               0000...
096050 -  ..
096051 -               0912....miles...........  20.0  20.0  318   318 minutes  temp  87 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096052 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096053 -               1242....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096054 -               1242....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096055 -               1242... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096056 -               1242... 02   CoQ10 Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096057 -               1242....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
096058 -               1242... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096059 -               1242... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096060 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096061 -               1519... Hike ends mile 20... ref SDS 0 7KJZ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096062 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096063 -               1519... chest pain PL 5 standing doing EKG - could be stomach or esophagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096064 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096065 -               1525....weight.................................... 181  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096066 -               1530....BP HR..................................................... 143  80  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096067 -               1532....BP HR..................................................... 137  76  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096068 -               1540....BP HR..................................................... 135  78  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096069 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096070 -               1554... chest pain PL 3 sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096071 -               1700... chest pain PL 0 sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096072 -               0000...
096073 -  ..
096074 -               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                                                                                                                                                                                                                                                                                  
096075 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096076 -               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                                                                                                                                                                                                                                                                                                                                                                                   
096077 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096078 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096079 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096080 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096081 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096082 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096083 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096084 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096087 -  ..
096088 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096089 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096091 -  ..
096092 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096093 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096094 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096095 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096096 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096097 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096099 -  ..
096100 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096101 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096103 -  ..
096104 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096105 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096106 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096108 -  ..
096109 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096110 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096114 -  ..
096115 - Summary... continuing difficulty swallowing nutrition, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096116 - medications, due to bloating with aspiration, occurring past week.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096117 - Stopping at mile 12, for EKG, meds and nutrition - was able keep down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096118 - most meds.  When hike ended mile 20, chest pain PL 6 for 30 minutes;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096119 - may have related to difficulty swallowing at mile 12.  Good results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096120 - wearing Hoka Clifton 11 shoes received yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096123 -         ..
096124 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096125 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096126 -        Stomach pain bloating - unstable ANS.........   5         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
096127 -        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                                                                                                                                                                                                                                                                                                                                                                                         
096128 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096129 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096130 -        Chest pain...................................   6          5  began end of hike while doing EKG lasted about 30 minutes - may have been GI related pending EGD dilation on 260821                                                                                                                                                                                                                                                                                                                                                                                                                          
096131 -        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                                                                                                                                                                                                                                                                                                                           
096132 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096133 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096134 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096135 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096136 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
096137 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096138 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
096139 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096140 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
096141 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096142 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096143 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096144 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096145 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
096146 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096147 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096148 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096149 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096150 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
096151 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096152 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096153 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096154 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096155 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096156 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096157 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096158 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096159 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096160 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096161 -        Metatarsalgia left foot...PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096162 -        Metatarsalgia right foot..PRP 260403.........   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096163 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096164 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
096165 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096166 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096167 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
096168 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
096169 -        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                                                                                                                                                                                                                                                                                                                           
096170 -        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                                                                                                                                                                                                                                                                                                                                                                                    
096171 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096172 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
096173 -        Callus big toe left foot...PRP 210705........   0        100  wearing Hoka Clifton 11 shoes 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096174 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096175 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096176 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
096177 -        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                                                                                                                                                                                                                                                                                                                                           
096178 -        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                                                                                                                                                                                                                                                                                                                                           
096179 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096180 -        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                                                                                                                                                                                                                                                                                                                                                                                      
096181 -        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                                                                                                                                                                                                                                                                                                                                                                                        
096182 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
096183 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
096184 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096185 -        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                                                                                                                                                                                                                                                                                                                                                              
096186 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
096187 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
096188 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096189 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096190 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
096191 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096192 -        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                                                                                                                                                                                                                                                                                          
096193 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
096194 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096195 -        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                                                                                                                                                                                                                                                                                                                                                                               
096196 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096197 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096198 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096199 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096200 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096201 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096202 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096203 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
096204 -        Wasted - very fatigued.......................   2         20  last 4 miles heat reached 92, had to end hike at 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096205 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096209 -  ..
096210 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096211 - Clifton 11 shoes size 11.5 width 4E, received yesterday on 260816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096212 - 1511, ref SDS D1 EQ7K  Very good hike mostly PL 0.  Best cushioning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096213 - no pain metatarsalgia, no pain top both feet #3s, 4s, 5s.  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096214 - lateral pressure left foot #1 and #5.  No lateral pressure right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096215 - #1 and #5.  Excellent rebound energy, like Hoka Bondi 9, and Mount to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096216 - Coast.  Feet very secure in shoe including on uneven surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096218 -  ..
096219 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096220 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096221 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096222 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096224 -  ..
096225 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096226 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096227 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096228 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096229 - yesterday on 260730 0900. ref SDS C9 5A4I  Wounds have worsened                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096230 - wearing Hoka Gaviota shoes and more recently, Brooks Glycerin shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096231 - They healed to some degree past 3 days.  Today, wearing Hoka Clifton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096232 - 11 shoes, did not feel pressure on calluses, especially no lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096233 - pressure on both feet #1s and #5s.  If this is repeated with hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096234 - restored to therapeutic levels in days, weeks, months ahead, then HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096235 - 55 reported on 260806 0901, ref SDS D0 UE6H, Should recover > 60,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096236 - along with EPCs and telomeres that maintain good health, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096237 - recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096239 -  ..
096240 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096241 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096245 -  ..
096246 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096247 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096248 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096249 - and also left hip, which flares few times a month, as 3 days ago on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096250 - 260814.  Took 1 Naproxen 500 mg for pain management - cut in half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096251 - aid swallowing, there is no metatarsalgia pain in feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096252 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096253 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C9 5H6F; left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096254 - foot #1 #5 calluses growing again, possibly more slowly.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096255 - Magnesium Complex 300 mg pills for cellular energy, absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096256 - acid, and reducing inflammation, all to enable hiking that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096257 - HDL and EPCs, which together regress plaque in blood vessel - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096258 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096259 - energy - CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096260 - electron transport chain (ETC) giving human cells energy, and protects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096261 - heart tissue from harmful free radicals and stress - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096262 - 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096263 - to resolve inflammation, essential for HDL to rise - see again case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096264 - study on 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096265 - at a time) and whole combined with small amount avocado, mayonaise,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096266 - peanut butter and margarine - pills slip through LESV easier when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096267 - swallowed combined with food chewed to a slurry combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096268 - carbonated softdrink.  About 20 minutes later, after dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096269 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096270 - ref SDS 0 EJ2P  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096271 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096272 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096273 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096274 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096275 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096276 - injuries, e.g., calluses.  Did mile loop around the block to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096277 - hike, which identifies bloating and feet wound issues that can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096278 - treated, before problems arise miles from home.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096279 - and turned left, onto Treat - was hiking well immediately, due in part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096280 - to new Hoka Clifton 11 shoes with much better than average rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096281 - energy.  Steady hiking caused HDL 65 on 260302, but pausing lowered to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096282 - HDL 51 on 260727; daily hiking for next 10 days, elevated lipids back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096283 - to HDL 55 on 260806 0901. ref SDS D0 UE6H  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096284 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096285 - despite mostly on-and-off hiking last few months, and have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096286 - hiking Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096287 - to Cliff House and on Point Lobos returning to hospital, per above on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096288 - 260727. ref SDS 0 9SAH  Started hike in morning OA 0912, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096289 - temperature at 66, and reached 97.  East wind 15 mph and mostly 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096290 - mph.  Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096291 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096292 - some places 3% uphill, and very light traffic.  Maintained normal pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096293 - 15 minute miles.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096294 - today.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096295 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096296 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096297 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096298 - complex.  Stopped at Lucky store to buy banana with potassium that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096299 - complements meds for energy, and aids swallowing meds to slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096300 - tightening LESV, pending EGD dilation on 260821.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096301 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096302 - maintained - no need to stop at Mountain Mike's Pizza restaurant to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096303 - take meds for energy deficit caused by dysfunctional ANS.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096304 - right going West on Ygnacio Valley Road still using concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096305 - .5 miles.  Continued past Park Highlands Road at traffic stoplight and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096306 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096307 - risk heavy morning commute traffic.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096308 - Valley Road hiking on wider shoulder past stoplight at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096309 - Boulevard.  Hiked another .25 miles to Chevron gas station and store.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096310 - At mile 7, turned left onto Pine Hollow, - hiked East 2.5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096311 - end of Pine Hollow turned around and hiked back.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096312 - Ygnacio Valley Road and hiked .25 mile.  Turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096313 - Stopped at Chevron gas station store mile 12, time 1242, temp 81 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096314 - wind 12 mph; EKG looks mostly uniform with no artifact, but some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096315 - possible irregularity, Kardia reported HR 117 Tachycardia, - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096316 - below. ref SDS 0 VKUN  Bloating PL 5, energy deficit PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096317 - metatarsalgia PL 0.  Left foot #1 PL - and #5 PL -.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096318 - 0; top of #3, #4, #5 PL 0 - feels much better today, than past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096319 - weeks.  Took 1 Naproxen 500 mg total today 2 for pain.  Took only 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096320 - Magnesium complex 300 mg pills - total today 6.  Took 2 Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096321 - Curcumin 2250 mg - total today 4.  Difficulty swallowing meds with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096322 - bites of banana and sips of softdrink, as on 260806; esophagus was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096323 - filling up, but able to take 2 CoQ10 pills - total today 4 - to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096324 - increase energy.  Sips softdrink purchased from Chev store for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096325 - hydration and swallowing nutrition - banana purchased at Lucky store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096326 - enables swallowing medication pills combined with bites of banana to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096327 - slip through LESV now contracted due to achalasia, pending dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096328 - procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096329 - HDL and energy to finish hike.  Took Nuun electrolyte pill, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096330 - above. ref SDS 0 74I7  Was beginning to aspirate from build up above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096331 - LESV.  Continued hike heading East on Ygnacio again, carrying the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096332 - softdrink to sip while swallowing the electrolyte pill.  After about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096333 - .5 mile turned around at Michigan Boulevard and hiked back to Chevron.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096334 - Turned onto Pine Hollow hiking 1.5 mile East.  At Pennsylvania                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096335 - Boulevard turned around and went back, and turned left heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096336 - Campus Drive.  Continued 1 mile West uphill 3% grade against wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096337 - mph.  The road bends North.  Turned left heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096338 - Valley road .50 mile.  Temperature 85 became a factor reducing energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096339 - and possibly because reduced magnesium from 4 to only 2.  Did not turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096340 - around and hike up to the college and hike through parking lots, doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096341 - strength training on exercise equipment.  Continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096342 - Road heading West on Ygnacio Valley road .5 mile uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096343 - against wind 15 mph - temp 87.  Hiked past Cowell .5 mile up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096344 - summit.  Turned around going .5 mile back.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096345 - going .25 mile downhill 5% grade.  Continued .25 mile flat grade, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096346 - .5 mile downhill 3% grade with no shoulder separating narrow commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096347 - traffic lane.  Turned left onto Treat .25 mile; turned right on Cunio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096348 - and home.  Ended hike mile 20 time 1519 temp 87, wind 15, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096349 - 5, energy deficit 2, feet metatarsalgia PL 1, left foot #1 edge PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096350 - #5 edge PL 2, right foot #1 PL 0, #5 PL 1, top #3, #4 blistering PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096351 - burning sensation PL 0.  EKG sinus with severe artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096352 - reported HR 118 Tachycardia - see below. ref SDS 0 7KJZ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096367 -  ..
096368 - Kardia recorded HR 053 at 0822, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096369 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096370 - likely no AFL after hiking 00 miles temp __ yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096371 - ref SDS 0 8EFG, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096372 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096373 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096374 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096375 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096378 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096379 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260817-ecg-082251_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096385 -  ..
096386 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096387 - California, hike 20 miles with max temperature 87, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096388 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096389 - ..
096390 -                                                                                                                                                                                                                                                                                                              x
096391 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096392 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096393 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096394 -       Date          260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25040  
096395 -       Miles            20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
096396 -       HR AVG          116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
096397 -  **     MAX           138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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 repo  
096398 -         Min            78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                
096399 -       El Climb Ft     670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                
096400 -       Temp Max         87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                
096401 -       Wind Max         15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                
096402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096406 -              https://flow.polar.com/training/analysis/8401690474                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096408 -               ..
096410 -   
096411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096416 -  ..
096417 - EKG at mile 12 time 1242, HR 116 temp 61, wind 12; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096418 - Tachycardia... heart rate looks mostly uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096419 - however 3 or 4 beats show irregularity - medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096420 - 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096423 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096424 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260817-ecg-124202_mile_12_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096429 -  ..
096430 - End hike EKG at mile 20, time 1519 HR 118 temp 87, wind 15 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096431 - reported Tachycardia... looks like sinus mostly uniform with severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096432 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096435 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096436 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260817-ecg-151928_mile_20_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096438 -  ..
096439 - Chest began hurting to PL 6, similar to hiking Lafayette Reservoir                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096440 - that caused chest pain reported to Doctor Lee at VA GI Clinic on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096441 - 090908 1130, ref SDS 1 MY4N, which led to CABGx4 on 091022 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096442 - ref SDS 2 PQWU  Therefore did 2nd EKG - seems perfect...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096443 -                                               -------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096445 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096446 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260817-ecg-154257_mile_20_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096449 -             ..
096450 -            [On 260818 2253 letter to Doctor Pellegrini in Cardiology                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096451 -            VAMCSF notifying of EKG strong artifact or other anomoly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096452 -            and had another chest pain episode - request Holter test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096453 -            evaluate unstable ANS. ref SDS D2 6J7T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096457 -  ..
096458 - Post hike HR profile beginning 2128, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096459 - hiking 20 miles with temperature 87, chest pain for 30 minutes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096460 - showing no continuous extended period steady elevated HR > 130,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096461 - indicates no AFL, and no possible atrial fibrillation, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096462 - stopping Apixaban on 240711, after 6th ablation on 240611, 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096463 - 0930, ref SDS 56 MC6F, See patient history on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096464 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096467 -        ..
096468 -       Date      260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423    
096469 -       Time       2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209     
096470 -       Hours         9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7     
096471 -       HR AVG       65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61     
096472 -       HR MAX      136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     
096473 -       HR Min       45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39     
096474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096476 -              https://flow.polar.com/training/analysis/8402180002                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096478 -  ..
096479 - HRV seems  10% 0 and  50% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096482 -   
096483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096486 -  ..
096487 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096488 - Lunch - banana with hiking meds - HR elevated > 160 twice after lunch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096489 - Dinner - eggs hamburger broccoli onion cottge cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096491 -  ..
096492 - Vomiting: 0% - bloating PL 6 - chest, maybe stomach pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096527 -         ..
096528 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096529 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096530 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096531 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096532 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096533 -  132.  260818 0725............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096534 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096535 -               0735....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
096536 -               0740....BP HR..................................................... 168  68  45  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096537 -               0745....BP HR..................................................... 168  69  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096538 -               0750....BP HR..................................................... 145  77  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096539 -               0755....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096540 -               0800....Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096541 -               0800....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
096542 -               0000...
096543 -  ..
096544 -               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                                                                                                                                                                                                                                                                                  
096545 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096546 -               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                                                                                                                                                                                                                                                                                                                                                                                   
096547 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096548 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096549 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096550 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096551 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096552 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096553 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096554 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096557 -  ..
096558 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096559 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096561 -  ..
096562 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096563 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096564 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096565 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096566 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096567 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096569 -  ..
096570 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096571 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096573 -  ..
096574 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096575 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096576 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096578 -  ..
096579 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096580 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096586 -  ..
096587 - Kardia recorded HR 061 at 0931, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096588 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096589 - hiking 20 miles temp 87, and chest pain, yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096590 - ref SDS 0 EJ2P, diagnosed ischemic colitis on 200612 0700, ref SDS 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096591 - LY3G, likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096592 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096593 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096596 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096597 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260818-ecg-093117_mile_00_061_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096601 -  ..
096602 - Second Kardia EKG recorded HR 044 at 0939, Bradycardia, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096603 - uniform heart beat lengths with p-waves and minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096604 - significant reduced HR may correlate with dysfuncational ANS following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096605 - 6th ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096606 - ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096609 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096610 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260818-ecg-093902_mile_00_044_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096615 -  ..
096616 - Post hike HR profile beginning 2150, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096617 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096618 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096619 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096620 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096621 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096624 -        ..
096625 -       Date      260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424    
096626 -       Time       2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935     
096627 -       Hours        10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12     
096628 -       HR AVG       72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54     
096629 -       HR MAX      126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     
096630 -       HR Min       38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37     
096631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096633 -              https://flow.polar.com/training/analysis/8402842946                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096635 -  ..
096636 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096639 -   
096640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096643 -  ..
096644 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096645 - Lunch - sandwich roast beef cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096646 - Dinner - macaroni cheese steak onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096648 -  ..
096649 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096684 -         ..
096685 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096686 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096687 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096688 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096689 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096690 -  132.  260819 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096691 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096692 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
096693 -               0730....BP HR..................................................... 178  52  70  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096694 -               0735....BP HR..................................................... 160  70  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096695 -               0740....BP HR..................................................... 161  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096696 -               0745....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096697 -               0745....Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096698 -               0745....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
096699 -               0000...
096700 -  ..
096701 -               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                                                                                                                                                                                                                                                                                  
096702 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096703 -               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                                                                                                                                                                                                                                                                                                                                                                                   
096704 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096705 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096706 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096707 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096708 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096709 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096710 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096711 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096714 -  ..
096715 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096716 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096718 -  ..
096719 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096720 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096721 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096722 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096723 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096724 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096726 -  ..
096727 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096728 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096730 -  ..
096731 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096732 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096733 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096735 -  ..
096736 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096737 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096742 -  ..
096743 - Kardia recorded HR 061 at 0830, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096744 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096745 - hiking 00 miles temp __, per above, ref SDS 0 RVBW, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096746 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096747 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096748 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096749 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096752 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096753 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260819-ecg-083001_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096759 -  ..
096760 - Post hike HR profile beginning 1958, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096761 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096762 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096763 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096764 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096765 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096768 -        ..
096769 -       Date      260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425    
096770 -       Time       1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008     
096771 -       Hours        10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12     
096772 -       HR AVG       59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65     
096773 -       HR MAX      121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     
096774 -       HR Min       37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40     
096775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096777 -              https://flow.polar.com/training/analysis/8403485693                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096779 -  ..
096780 - HRV seems  10% 0 and  20% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096783 -   
096784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096787 -  ..
096788 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096789 - Lunch - sandwich roast beef cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096790 - Dinner - macaroni cheese steak onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096792 -  ..
096793 - Vomiting: 0% - bloating PL 6  chest pain 1400 in kitchen standing 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096828 -         ..
096829 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096830 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096831 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096832 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096833 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096834 -  132.  260820 0605............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096835 -               0605....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096836 -               0610....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
096837 -               0610....BP HR..................................................... 182  76  43  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096838 -               0615....BP HR..................................................... 167  83  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096839 -               0620....BP HR..................................................... 159  71  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096840 -               0625....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096841 -               0700....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096842 -               0700....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
096843 -               0700... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096844 -               0700....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096845 -               0700....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096846 -    paused     0700....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096847 -               0740....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096848 -               0740... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096849 -               0740....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
096850 -               0000...
096851 -  ..
096852 -               0748....miles...........  21.0  41.0  338   356 minutes  temp  84 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096853 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096854 -               1236....mile 16 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096855 -               1236....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096856 -               1236... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096857 -               1236... 02   CoQ10 Ubiquinol took 1 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096858 -               1236....Turmeric Curcumin 2250 mg took 1 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
096859 -               1236... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096860 -               1236... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096861 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096862 -               1415... Hike ends mile 21... ref SDS 0 V1A3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096863 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096864 -               1425....weight.................................... 182  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096865 -               1430....BP HR..................................................... 135  78 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096866 -               1437....BP HR..................................................... 128  76  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096867 -               1500....BP HR..................................................... 121  73  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096868 -               0000...
096869 -  ..
096870 -               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                                                                                                                                                                                                                                                                                  
096871 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096872 -               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                                                                                                                                                                                                                                                                                                                                                                                   
096873 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096874 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096875 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096876 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096877 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096878 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096879 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096880 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096883 -  ..
096884 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096885 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096887 -  ..
096888 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096889 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096890 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096891 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096892 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096893 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096895 -  ..
096896 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096897 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096899 -  ..
096900 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096901 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096902 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096904 -  ..
096905 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096906 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096910 -  ..
096911 - Summary... continuing difficulty swallowing nutrition, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096912 - medications, due to bloating with aspiration, occurring past week.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096913 - Unusually long to 1st stop at mile 16, for EKG, meds and nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096914 - which is a good sign condition, despite hiking only every 3rd day in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096915 - recent weeks.  When hike ended mile 21, no chest pain today, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096916 - positive sign.  Good results wearing Hoka Clifton 11 shoes for 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096917 - hike; but burning sensation PL 6 at end of hike is disappointing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096920 -         ..
096921 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096922 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096923 -        Stomach pain bloating - unstable ANS.........   5         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
096924 -        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                                                                                                                                                                                                                                                                                                                                                                                         
096925 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096926 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096927 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096928 -        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                                                                                                                                                                                                                                                                                                                           
096929 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096930 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096931 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096932 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096933 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
096934 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096935 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
096936 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096937 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
096938 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096939 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096940 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096941 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096942 -        Knee left meniscus...PRP 231121..............   0        100  did not take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 2 Naproxen 250 mg mile 0 and 1 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
096943 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096944 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096945 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096946 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096947 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
096948 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096949 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096950 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096951 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096952 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096953 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096954 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096955 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096956 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096957 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096958 -        Metatarsalgia left foot...PRP 260403.........   3          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096959 -        Metatarsalgia right foot..PRP 260403.........   3          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096960 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096961 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
096962 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096963 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096964 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
096965 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
096966 -        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                                                                                                                                                                                                                                                                                                                           
096967 -        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                                                                                                                                                                                                                                                                                                                                                                                    
096968 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096969 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
096970 -        Callus big toe left foot...PRP 210705........   0        100  wearing Hoka Clifton 11 shoes 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096971 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096972 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096973 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
096974 -        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                                                                                                                                                                                                                                                                                                                                           
096975 -        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                                                                                                                                                                                                                                                                                                                                           
096976 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096977 -        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                                                                                                                                                                                                                                                                                                                                                                                      
096978 -        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                                                                                                                                                                                                                                                                                                                                                                                        
096979 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
096980 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
096981 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096982 -        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                                                                                                                                                                                                                                                                                                                                                              
096983 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
096984 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
096985 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096986 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096987 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
096988 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096989 -        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                                                                                                                                                                                                                                                                                          
096990 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
096991 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096992 -        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                                                                                                                                                                                                                                                                                                                                                                               
096993 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096994 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096995 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096996 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096997 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096998 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096999 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097000 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
097001 -        Wasted - very fatigued.......................   0        100  good energy entire 21 miles with temp 84 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097002 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097006 -  ..
097007 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097008 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097009 - ref SDS D1 EQ7K  Very good hike mostly PL 0.  Best cushioning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097010 - metatarsalgia PL 6 last few miles disappointing; no pain top both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097011 - #3s, 4s, 5s.  Minimal lateral pressure left foot #1 and #5.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097012 - lateral pressure right foot #1 and #5.  Excellent rebound energy, like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097013 - Hoka Bondi 9, and Mount to Coast.  Feet very secure in shoe including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097014 - on uneven surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097016 -  ..
097017 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097018 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097019 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097020 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097022 -  ..
097023 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097024 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097025 - per above. ref SDS 0 TI2H  Yesterday, Doctor Tang and his assistant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097026 - John, in VA Podiatry maintained wounds from these feet callus removals                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097027 - yesterday on 260730 0900. ref SDS C9 5A4I  Wounds have worsened                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097028 - wearing Hoka Gaviota shoes and more recently, Brooks Glycerin shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097029 - They healed to some degree past 3 days.  Today, wearing Hoka Clifton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097030 - 11 shoes, did not feel pressure on calluses, especially no lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097031 - pressure on both feet #1s and #5s.  If this is repeated with hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097032 - restored to therapeutic levels in days, weeks, months ahead, then HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097033 - 55 reported on 260806 0901, ref SDS D0 UE6H, Should recover > 60,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097034 - along with EPCs and telomeres that maintain good health, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097035 - recovery from dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097037 -  ..
097038 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097039 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097043 -  ..
097044 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097045 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097046 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097047 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097048 - 1 Naproxen 500 mg for pain management - cut in half to aid swallowing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097049 - there is no metatarsalgia pain in feet starting hike today, and both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097050 - feet #1 and #5 calluses both PL 0 - were shaved down by Doctor Tang in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097051 - VAMC Podiatry on 260730 0900, ref SDS C9 5H6F; left foot #1 #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097052 - calluses growing again, possibly more slowly.  Took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097053 - Complex 300 mg pills for cellular energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097054 - reducing inflammation, all to enable hiking that increases HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097055 - EPCs, which together regress plaque in blood vessel - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097056 - 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy - CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097057 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097058 - chain (ETC) giving human cells energy, and protects heart tissue from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097059 - harmful free radicals and stress - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097060 - ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills to resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097061 - inflammation, essential for HDL to rise - see again case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097062 - 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1 at a time)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097063 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097064 - and margarine - pills slip through LESV easier when swallowed combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097065 - with food chewed to a slurry combined with carbonated softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097066 - About 20 minutes later, after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097067 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 EH5K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097068 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097069 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097070 - and atrial fibrillation (arrhythmia - variable heart rate) see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097071 - study on 200101 0701. ref SDS 21 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097072 - stuff - good to build conditioning for Half Dome - because extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097073 - weight increases pressure that causes feet injuries, e.g., calluses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097074 - Did mile loop around the block to start hike, which identifies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097075 - bloating and feet wound issues that can be treated, before problems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097076 - arise miles from home.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097077 - Treat - was hiking well immediately, due in part to new Hoka Clifton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097078 - 11 shoes with much better than average rebound energy.  Steady hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097079 - caused HDL 65 on 260302, but pausing lowered to HDL 51 on 260727;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097080 - daily hiking for next 10 days, elevated lipids back to HDL 55 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097081 - 260806 0901. ref SDS D0 UE6H  Breathed through nose entire hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097082 - no dyspnea, indicating conditioning has sustained, despite mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097083 - on-and-off hiking last few months, and have not been hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097084 - Ranch Road, resulting in dyspnea hiking 1 mile uphill to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097085 - and on Point Lobos returning to hospital, per above on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097086 - ref SDS 0 9SAH  Started hike in morning OA 0748, with temperature at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097087 - 58, and reached 84.  East wind 12 mph and mostly 10 mph.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097088 - East on Treat .5 miles.  Traffic very heavy at commute hour backed up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097089 - for 1 mile from San Miguel - bumper-to-bumper to Cowell.  Required                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097090 - extra time and care crossing from North to South hiking East with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097091 - traffic on Treat.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097092 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097093 - uphill, and very light traffic.  Maintained normal pace 15 minute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097094 - miles.  Hiked across Newhall Community park and back today.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097095 - uphill 4% grade to end of Turtle Creek.  Turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097096 - heading East .75 miles on asphalt road shoulder.  At mile 5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097097 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097098 - parking lots of shopping complex.  Stopped at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097099 - banana with potassium that complements meds for energy, and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097100 - swallowing meds to slip through tightening LESV, pending EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097101 - on 260821.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097102 - concrete sidewalk .5 miles.  Energy maintained - no need to stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097103 - Mountain Mike's Pizza restaurant to take meds for energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097104 - caused by dysfunctional ANS, occurred previously, e.g., on 250418 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097105 - case study on 250101 0704. ref SDS 71 OFS1  Turned right going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097106 - Ygnacio Valley Road still using concrete sidewalk .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097107 - past Park Highlands Road at traffic stoplight and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097108 - miles on very narrow asphalt shoulder next to high risk heavy morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097109 - commute traffic.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097110 - wider shoulder past stoplight at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097111 - .25 miles to Chevron gas station and store.  At mile 7, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097112 - onto Pine Hollow, - hiked East 2.5 miles.  At end of Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097113 - turned around and hiked back.  At Ygnacio Valley Road turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097114 - Campus Drive.  Continued 1 mile West uphill 3% grade against wind 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097115 - mph.  The road bends North.  Turned around headed uphill .3 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097116 - Campus Drive.  Reached Visitor Parking California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097117 - East Bay Concord Campus - mile 13.  Hiked 3 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097118 - buildings - used exercise equipment at back of buildings to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097119 - partial pullups and pushups each pass.  Stopped at cafeteria mile 16,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097120 - time 1236, temp 79 and wind 12 mph; EKG looks totally uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097121 - artifact.  Kardia reported HR 118 Tachycardia, - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097122 - ref SDS 0 IQ4V  Bloating PL 5, energy deficit PL 2, feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097123 - PL 2.  Left foot #1 PL 1 and #5 PL 1.  Right foot #5 PL 0; top of #3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097124 - #4, #5 PL 0.  Took 1 Naproxen 500 mg total today 2 for pain.  By this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097125 - point was not feeling well, esophagus was filling up, so reduced meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097126 - to avoid GI side effects, and since not hiking Crystal Ranch 8-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097127 - loop, nor 8-mile loop over summit to Elk Grove and home, took only 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097128 - Magnesium complex 300 mg pills - total today 6 - for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097129 - lactic acid, per research on 200101 0701. ref SDS 21 QP6L  Took only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097130 - CoQ10 pill that supports an electron transport chain (ETC) giving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097131 - human cells energy, and protects heart tissue, thereby complementing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097132 - magnesium for hiking energy - total today 3.  Took only 1 Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097133 - Curcumin 2250 mg - total today 3 - to reduce inflammation.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097134 - softdrink purchased from cafeteria vending machine for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097135 - swallowing nutrition - banana purchased at Lucky store enables                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097136 - swallowing medication pills combined with bites of banana to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097137 - through LESV now contracted due to achalasia, pending dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097138 - procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097139 - HDL and energy to continue hike.  Took Nuun electrolyte pill; all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097140 - above. ref SDS 0 7S4L  Was beginning to aspirate again from build up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097141 - above LESV.  Nuun pill fizzes, so left immediately to avoid vomitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097142 - on table in cafeteria.  At mile 16, left college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097143 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097144 - Hiked West on flat grade .5 miles.  Turned left hiking uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097145 - Crystal Ranch Road .25 mile.  Turned around hiking back and then left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097146 - heading West on Ygnacio Valley road .5 mile uphill 3% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097147 - wind 12 mph - temp 84.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097148 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097149 - camber.  Feeling well enough to continue, so hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097150 - grade to summit at end of concrete barriar mile 19.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097151 - going .5 mile back.  Turned left onto Cowell going .25 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097152 - 5% grade.  Continued .25 mile flat grade, then .5 mile downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097153 - grade with no shoulder separating narrow commute traffic lane.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097154 - left onto Treat .25 mile; turned right on Cunio and home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097155 - mile 21 time 1415 temp 84, wind 12, bloating PL 3, energy deficit PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097156 - 2, feet metatarsalgia PL 3, burning sensation PL 6 - disappointing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097157 - left foot #1 edge PL 4, #5 edge PL 4, right foot #1 PL 0, #5 PL 3, top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097158 - #3, #4 blistering PL 0.  EKG sinus with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097159 - HR 119 Tachycardia looks totally uniform - see below. ref SDS 0 V1A3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097174 -  ..
097175 - Kardia recorded HR 061 at 0632, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097176 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097177 - hiking 00 miles temp __, per above, ref SDS 0 BUZ2, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097178 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097179 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097180 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097181 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097184 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097185 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260820-ecg-063245_mile_00_040_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097191 -  ..
097192 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097193 - California, hike 21 miles with max temperature 84, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097194 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097195 - ..
097196 -                                                                                                                                                                                                                                                                                                              x
097197 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097198 -                                          x             x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097199 -                     x      x             x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097200 -       Date          260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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 25041  
097201 -       Miles            21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
097202 -       HR AVG          117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
097203 -  **     MAX           144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
097204 -         Min            73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77  
097205 -       El Climb Ft     635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469  
097206 -       Temp Max         84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82  
097207 -       Wind Max         12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8  
097208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097212 -              https://flow.polar.com/training/analysis/8403810152                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097214 -               ..
097216 -   
097217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097222 -  ..
097223 - EKG at mile 16 time 1236, HR 118 temp 79, wind 12; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097224 - Tachycardia... heart rate looks totally uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097225 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097228 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097229 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260820-ecg-123614_mile_16_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097234 -  ..
097235 - End hike EKG at mile 21, time 1415 HR 119 temp 84, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097236 - reported Tachycardia... looks like sinus mostly uniform with severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097237 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097240 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097241 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260820-ecg-141558_mile_21_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097250 -  ..
097251 - Post hike HR profile beginning 1923, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097252 - hiking 21 miles with temperature 84, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097253 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097254 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097255 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097256 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097259 -        ..
097260 -       Date      260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426    
097261 -       Time       1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946     
097262 -       Hours         8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15     
097263 -       HR AVG       64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63     
097264 -       HR MAX      114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     
097265 -       HR Min       43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42     
097266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097268 -              https://flow.polar.com/training/analysis/8404068489                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097270 -  ..
097271 - HRV seems  10% 0 and  20% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097274 -   
097275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097278 -  ..
097279 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097280 - Lunch - banana with hiking meds - HR elevated > 160 twice after lunch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097281 - Dinner - macaroni cheese steak onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097283 -  ..
097284 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097319 -         ..
097320 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097321 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097322 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097323 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097324 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097325 -  132.  260821 0330............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097326 -               0330....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097327 -               0310....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
097328 -               0310....BP HR..................................................... 182  79  54  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097329 -               0315....BP HR..................................................... 152  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097330 -               0320....BP HR..................................................... 169  77  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097331 -               0325....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097332 -               0000...
097333 -  ..
097334 -               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                                                                                                                                                                                                                                                                                  
097335 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
097336 -               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                                                                                                                                                                                                                                                                                                                                                                                   
097337 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097338 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097339 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097340 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097341 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097342 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097343 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097344 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097347 -  ..
097348 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097349 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097351 -  ..
097352 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097353 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097354 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097355 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097356 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097357 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097359 -  ..
097360 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097361 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097363 -  ..
097364 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097365 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097366 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097368 -  ..
097369 - Reflux slept in bed 90%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097370 - aspiration, vomited none, after EGD dilation today on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097378 -  ..
097379 - Kardia recorded HR 052 at 0454, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097380 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097381 - likely no AFL after hiking 21 miles temp 84, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097382 - EH5K, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097383 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097384 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097385 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097388 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097389 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260821-ecg-045445_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097396 -  ..
097397 - Post hike HR profile beginning ____, forgot to launch overnight Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097398 - HR monitor, following EGD Dilation procedure in the morning, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097399 - recovering from sedation with versed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097403 -        ..
097404 -       Date      260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427    
097405 -       Time               1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326     
097406 -       Hours        no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5     
097407 -       HR AVG     report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62     
097408 -       HR MAX              114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     
097409 -       HR Min               43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42     
097410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097415 -  ..
097416 - Breakfast - NPO for EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097417 - Lunch - hamburger - Arby's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097418 - Dinner - pizza peach cobbler                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097420 -  ..
097421 - Vomiting: 0% - bloating PL 5 - EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097454 -         ..
097455 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097456 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097457 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097458 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097459 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097460 -  132.  260822 0645............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097461 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097462 -               0655....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
097463 -               0700....BP HR..................................................... 182  79  54  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097464 -               0705....BP HR..................................................... 152  62  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097465 -               0710....BP HR..................................................... 149  73  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097466 -               0715....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097467 -               0000...
097468 -  ..
097469 -               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                                                                                                                                                                                                                                                                                  
097470 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
097471 -               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                                                                                                                                                                                                                                                                                                                                                                                   
097472 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097473 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097474 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097475 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097476 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097477 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097478 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097479 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097482 -  ..
097483 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097484 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097486 -  ..
097487 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097488 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097489 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097490 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097491 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097492 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097494 -  ..
097495 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097496 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097498 -  ..
097499 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097500 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097501 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097503 -  ..
097504 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097505 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097510 -  ..
097511 - Kardia recorded HR 052 at 1146, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097512 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097513 - likely no AFL after hiking 21 miles temp 84, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097514 - EH5K, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097515 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097516 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097517 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097520 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097521 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260822-ecg-114635_mile_00_056_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097525 -  ..
097526 - Post hike HR profile beginning 1914, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097527 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097528 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097529 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097530 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097531 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097534 -        ..
097535 -       Date      260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428    
097536 -       Time       1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946     
097537 -       Hours        11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14      15     
097538 -       HR AVG       61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71      63     
097539 -       HR MAX      123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     
097540 -       HR Min       38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45      42     
097541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097544 -              https://flow.polar.com/training/analysis/8405500778                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097546 -  ..
097547 - HRV seems   0% 0 and  40% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097550 -   
097551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097554 -  ..
097555 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097556 - Lunch - sandwich roast beef onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097557 - Dinner - steak potato broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097559 -  ..
097560 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097593 -         ..
097594 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097595 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097596 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097597 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097598 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097599 -  132.  260823 0640............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097600 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097601 -               0645....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
097602 -               0650....BP HR..................................................... 172  72  44  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097603 -               0655....BP HR..................................................... 172  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097604 -               0700....BP HR..................................................... 166  84  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097605 -               0705....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097606 -               0720....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097607 -               0720....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
097608 -               0000...
097609 -  ..
097610 -               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                                                                                                                                                                                                                                                                                  
097611 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
097612 -               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                                                                                                                                                                                                                                                                                                                                                                                   
097613 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097614 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097615 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097616 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097617 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097618 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097619 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097620 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097623 -  ..
097624 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097625 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097627 -  ..
097628 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097629 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097630 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097631 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097632 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097633 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097635 -  ..
097636 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097637 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097639 -  ..
097640 - Swallowing - difficult - must eat very slowly, small bites, chew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097641 - thoroughly with lots of carbonated liquid to avoid vomiting, gagging,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097642 - aspiration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097644 -  ..
097645 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097646 - aspiration, vomited less after EGD dilation on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097647 - ref SDS D3 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097654 -  ..
097655 - Kardia recorded HR 057 at 0745, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097656 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097657 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097658 - EO4P, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097659 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097660 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097661 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097664 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097665 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260823-ecg-074519_mile_00_057_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097670 -  ..
097671 - Post hike HR profile beginning 2333, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097672 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097673 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097674 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097675 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097676 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097679 -        ..
097680 -       Date      260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429    
097681 -       Time       2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017     
097682 -       Hours         7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10      14     
097683 -       HR AVG       60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80      71     
097684 -       HR MAX       99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     115     
097685 -       HR Min       39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49      45     
097686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097689 -              https://flow.polar.com/training/analysis/8406228728                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097691 -  ..
097692 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097695 -   
097696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097699 -  ..
097700 - Breakfast - eggs steak potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097701 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097702 - Dinner - pizza, peach cobbler                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097704 -  ..
097705 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097739 -         ..
097740 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097741 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097742 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097743 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097744 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097745 -  132.  260824 0700............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097746 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097747 -               0705....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
097748 -               0710....BP HR..................................................... 178  90  60  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097749 -               0715....BP HR..................................................... 163  89  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097750 -               0720....BP HR..................................................... 167  81  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097751 -               0725....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097752 -               0950....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097753 -               0950....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
097754 -               0950... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097755 -               0950....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097756 -               0950....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097757 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097758 -               1030....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097759 -               1030... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097760 -               1030....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
097761 -               0000...
097762 -  ..
097763 -               1047....miles...........  18.0  18.0  301   301 minutes  temp  91 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097764 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097765 -               1412....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097766 -               1412....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097767 -               1412... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097768 -               1412... 02   CoQ10 Ubiquinol took 1 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097769 -               1412....Turmeric Curcumin 2250 mg took 1 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
097770 -               1412... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097771 -               1412... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097772 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097773 -               1637... Hike ends mile 18... ref SDS 0 JYRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097774 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097775 -               1650....weight.................................... 179  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097776 -               1700....BP HR..................................................... 122  77 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097777 -               1705....BP HR..................................................... 117  73 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097778 -               1710....BP HR..................................................... 120  77  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097779 -               0000...
097780 -  ..
097781 -               1730... 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                                                                                                                                                                                                                                                                                  
097782 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
097783 -               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                                                                                                                                                                                                                                                                                                                                                                                   
097784 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097785 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097786 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097787 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097788 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097789 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097790 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097791 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097794 -  ..
097795 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097796 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097798 -  ..
097799 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097800 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097801 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097802 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097803 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097804 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097806 -  ..
097807 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097808 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097810 -  ..
097811 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097812 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097814 -  ..
097815 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097816 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097820 -  ..
097821 - Summary... swallowing nutrition, hydration and meds improved but still difficult after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097822 - dilation on 250821 - bloating PL 6 disappointing.  Heat rash after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097823 - hike normal for temp > 90.  Energy waned mile 15, with temp 91; ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097824 - hike early.  No chest pain positive sign.  Good results wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097825 - Clifton 11 shoes for 3rd hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097828 -         ..
097829 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097830 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097831 -        Stomach pain bloating - unstable ANS.........   6         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
097832 -        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                                                                                                                                                                                                                                                                                                                                                                                         
097833 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097834 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097835 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097836 -        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                                                                                                                                                                                                                                                                                                                           
097837 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097838 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097839 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097840 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097841 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
097842 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097843 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
097844 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097845 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
097846 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097847 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097848 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097849 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097850 -        Knee left meniscus...PRP 210705..............   4         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
097851 -        Knee left patalla...PRP 210705...............   3         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097852 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097853 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097854 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097855 -        Knee right meniscus PRP 190816...............   3         20  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097856 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097857 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097858 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097859 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097860 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097861 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097862 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097863 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097864 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097865 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097866 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097867 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097868 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097869 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
097870 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097871 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097872 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
097873 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
097874 -        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                                                                                                                                                                                                                                                                                                                           
097875 -        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                                                                                                                                                                                                                                                                                                                                                                                    
097876 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097877 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
097878 -        Callus big toe left foot.....................   4         30  wearing Hoka Clifton 11 shoes 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097879 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097880 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097881 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
097882 -        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                                                                                                                                                                                                                                                                                                                                           
097883 -        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                                                                                                                                                                                                                                                                                                                                           
097884 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097885 -        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                                                                                                                                                                                                                                                                                                                                                                                      
097886 -        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                                                                                                                                                                                                                                                                                                                                                                                        
097887 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
097888 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
097889 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097890 -        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                                                                                                                                                                                                                                                                                                                                                              
097891 -        Callus little toe #5 left foot...PRP 210705..   2         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
097892 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
097893 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097894 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097895 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
097896 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097897 -        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                                                                                                                                                                                                                                                                                          
097898 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
097899 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097900 -        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                                                                                                                                                                                                                                                                                                                                                                               
097901 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097902 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097903 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097904 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097905 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097906 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097907 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097908 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
097909 -        Wasted - very fatigued.......................   3         20  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097910 -        Hiker's rash vasculitis.see 210618...........   6         10  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097914 -  ..
097915 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097916 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097917 - ref SDS D1 EQ7K  Very good hike mostly PL 0.  Best cushioning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097918 - metatarsalgia PL 2 good result, no pain top both feet #3s, 4s, 5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097919 - Minimal lateral pressure left foot #1 and #5.  Lateral pressure left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097920 - foot #1 and #5 - no lateral pressure right foot.  Excellent rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097921 - energy, like Hoka Bondi 9, and Mount to Coast.  Feet very secure in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097922 - shoe including on uneven surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097924 -  ..
097925 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097926 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097927 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097928 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097930 -  ..
097931 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097932 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097933 - per above. ref SDS 0 TI2H  Doctor Tang and his assistant, John, in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097934 - Podiatry maintained wounds from these feet callus removals on 260730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097935 - 0900. ref SDS C9 5A4I  Felt some pressure left foot #1 and #5 last 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097936 - miles - seems to be growing again, disappointing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097938 -  ..
097939 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097940 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097944 -  ..
097945 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097946 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097947 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097948 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097949 - 1 Naproxen 500 mg for pain management - cut in half to aid swallowing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097950 - there is no metatarsalgia pain in feet starting hike today, and both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097951 - feet #1 and #5 calluses both PL 0 - were shaved down by Doctor Tang in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097952 - VAMC Podiatry on 260730 0900, ref SDS C9 5H6F; left foot #1 #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097953 - calluses growing again, possibly more slowly.  Took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097954 - Complex 300 mg pills for cellular energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097955 - reducing inflammation, all to enable hiking that increases HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097956 - EPCs, which together regress plaque in blood vessel - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097957 - 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy - CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097958 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097959 - chain (ETC) giving human cells energy, and protects heart tissue from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097960 - harmful free radicals and stress - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097961 - ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills to resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097962 - inflammation, essential for HDL to rise - see again case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097963 - 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1 at a time)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097964 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097965 - and margarine - pills slip through LESV easier when swallowed combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097966 - with food chewed to a slurry combined with carbonated softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097967 - About 20 minutes later, after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097968 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 YSAN  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097969 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097970 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097971 - and atrial fibrillation (arrhythmia - variable heart rate) see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097972 - study on 200101 0701. ref SDS 21 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097973 - stuff - good to build conditioning for Half Dome - because extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097974 - weight increases pressure that causes feet injuries, e.g., calluses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097975 - Did mile loop around the block to start hike, which identifies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097976 - bloating and feet wound issues that can be treated, before problems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097977 - arise miles from home.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097978 - Treat - was hiking well immediately, due in part to new Hoka Clifton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097979 - 11 shoes with very good rebound energy.  Steady hiking caused HDL 65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097980 - on 260302, but pausing lowered to HDL 51 on 260727; daily hiking for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097981 - next 10 days, elevated lipids back to HDL 55 on 260806 0901.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097982 - ref SDS D0 UE6H  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097983 - indicating conditioning has sustained, despite disparate hiking last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097984 - few months, and have not been hiking Crystal Ranch Road, resulting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097985 - dyspnea hiking 1 mile uphill to Cliff House and on Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097986 - returning to hospital, per above on 260727. ref SDS 0 9SAH  Started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097987 - hike in morning OA 1047, with temperature at 68, and reached 91.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097988 - wind 12 mph and mostly 10 mph.  Continued East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097989 - Traffic light after morning commute.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097990 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097991 - some places 3% uphill, and very light traffic.  Maintained normal pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097992 - 15 minute miles.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097993 - Continued uphill 4% grade to end of Turtle Creek.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097994 - Ayers heading East .75 miles on asphalt road shoulder.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097995 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097996 - pavement in parking lots of shopping complex.  Stopped at Lucky store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097997 - to buy banana with potassium that complements meds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097998 - aids swallowing meds to slip through tightening LESV, pending EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097999 - dilation on 260821.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098000 - continued on concrete sidewalk .5 miles.  Energy maintained - no need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098001 - to stop at Mountain Mike's Pizza restaurant to take meds for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098002 - deficit caused by dysfunctional ANS, occurred previously, e.g., on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098003 - 250418 in case study on 250101 0704. ref SDS 71 OFS1  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098004 - going West on Ygnacio Valley Road still using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098005 - miles.  Continued past Park Highlands Road at traffic stoplight and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098006 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098007 - risk heavy morning commute traffic.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098008 - Valley Road hiking on wider shoulder past stoplight at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098009 - Boulevard.  Hiked another .25 miles to Chevron gas station and store.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098010 - At mile 7, turned left onto Pine Hollow, - hiked East 2.5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098011 - end of Pine Hollow turned around and hiked back.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098012 - Ygnacio Valley Road heading East .25 mile.  Then hiked back stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098013 - at Chevron gas station store mile 12, time 1412, temp 87 and wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098014 - mph; EKG looks mostly uniform with some strong artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098015 - reported HR 128 Tachycardia, - see below. ref SDS 0 8MFE  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098016 - 6, energy deficit PL 2, both feet metatarsalgia PL 0.  Left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098017 - - and #5 PL -.  Right foot #5 PL 0; top of #3, #4, #5 PL 0 - feels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098018 - much better today, than past 3 weeks.  Took 1 Naproxen 500 mg total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098019 - today 2, for pain.  Took only 2 Magnesium complex 300 mg pills - total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098020 - today 6.  Took 1 Turmeric Curcumin 2250 mg - total today 3.  Less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098021 - difficulty swallowing meds with bites of banana and sips of softdrink,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098022 - that previously reported on 260806, and after EGD dilation on 260821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098023 - 0830. ref SDS D3 433O; took 1 CoQ10 pill - total today 3 - to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098024 - energy.  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098025 - swallowing nutrition - banana purchased at Lucky store enables                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098026 - swallowing medication pills combined with bites of banana to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098027 - through LESV now expanded on 260821.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098028 - liquid for HDL and energy to finish hike.  Took Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098029 - all per above. ref SDS 0 QIX5  Continued hike heading East on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098030 - again, carrying the softdrink to sip while swallowing the electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098031 - pill.  After about .5 mile turned around at Michigan Boulevard and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098032 - hiked back to Chevron.  Turned onto Pine Hollow hiking 0.5 mile East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098033 - At Discovery Way turned around and went back.  Turned left heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098034 - West on Campus Drive.  Continued 1 mile West uphill 3% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098035 - wind 15 mph.  The road bends North.  Turned left heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098036 - Ygnacio Valley road .50 mile.  Energy waning with temperature 91, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098037 - after reducing magnesium from 4 to only 2, and reducing CoQ10 from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098038 - to 1 capsule.  Did not turn around and hike up to the college and hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098039 - through parking lots, doing strength training on exercise equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098040 - Continued past Crystal Ranch Road heading West on Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098041 - .5 mile uphill 3% grade against wind 13 mph - temp 91.  Hiked past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098042 - Cowell .5 mile up to summit.  Turned around going .5 mile back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098043 - Turned left onto Cowell going .25 mile downhill 5% grade.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098044 - .25 mile flat grade, then .5 mile downhill 3% grade with no shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098045 - separating narrow commute traffic lane.  Turned left onto Treat .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098046 - mile; turned right on Cunio and home.  Ended hike mile 18 time 1519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098047 - temp 87, wind 15, bloating PL 5, energy deficit 2, feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098048 - PL 1, left foot #1 edge PL 0, #5 edge PL 2, right foot #1 PL 0, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098049 - 1, top #3, #4 blistering PL 0, burning sensation PL 0, heat rash most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098050 - of both quads PL 4, EKG sinus with artifact, Kardia reported HR 130                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098051 - Tachycardia - see below. ref SDS 0 JYRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098063 -  ..
098064 - Kardia recorded HR 057 at 0942, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098065 - heart beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098066 - hiking 00 miles temp __, per above, ref SDS 0 7CG9, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098067 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098068 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098069 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098070 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098073 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098074 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260824-ecg-094250_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098080 -  ..
098081 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098082 - California, hike 18 miles with max temperature 91, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098083 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098084 - ..
098085 -                                                                                                                                                                                                                                                                                                              x
098086 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098087 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098088 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098089 -       Date          260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 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  
098090 -       Miles            18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            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  
098091 -       HR AVG          123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           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  
098092 -  **     MAX           150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           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  
098093 -         Min            74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65  
098094 -       El Climb Ft     570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469  
098095 -       Temp Max         91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65  
098096 -       Wind Max         12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8  
098097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098100 -              https://flow.polar.com/training/analysis/8406525880                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098102 -               ..
098104 -   
098105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098110 -  ..
098111 - EKG at mile 12 time 1412, HR 128 temp 87, wind 12; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098112 - Tachycardia... heart rate looks mostly uniform with some strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098113 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098116 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098117 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260824-ecg-141218_mile_12_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098122 -  ..
098123 - End hike EKG at mile 18, time 1637 HR 139 temp 91, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098124 - reported Tachycardia... looks like sinus mostly uniform with severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098125 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098128 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098129 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260824-ecg-163759_mile_18_130_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098138 -  ..
098139 - Post hike HR profile beginning 2206, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098140 - hiking 18 miles with temperature 91, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098141 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098142 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098143 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098144 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098147 -        ..
098148 -       Date      260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430    
098149 -       Time       2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110     
098150 -       Hours        11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10      10     
098151 -       HR AVG       64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78      80     
098152 -       HR MAX      124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     123     
098153 -       HR Min       40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48      49     
098154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098157 -              https://flow.polar.com/training/analysis/8406997761                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098159 -  ..
098160 - HRV seems  30% 0 and  40% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098163 -   
098164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098167 -  ..
098168 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098169 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098170 - Dinner - steak potato broccoli asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098172 -  ..
098173 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098208 -         ..
098209 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098210 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098211 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098212 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098213 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098214 -  132.  260825 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098215 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098216 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
098217 -               0730....BP HR..................................................... 174  78  57  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098218 -               0735....BP HR..................................................... 175  77  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098219 -               0740....BP HR..................................................... 179  80  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098220 -               0755....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098221 -               0755....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098222 -               0755....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
098223 -               0000...
098224 -  ..
098225 -               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                                                                                                                                                                                                                                                                                  
098226 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098227 -               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                                                                                                                                                                                                                                                                                                                                                                                   
098228 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098229 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098230 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098231 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098232 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098233 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098234 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098235 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098238 -  ..
098239 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098240 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098242 -  ..
098243 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098244 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098245 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098246 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098247 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098248 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098250 -  ..
098251 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098252 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098254 -  ..
098255 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098256 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098258 -  ..
098259 - Reflux slept in bed 70%, and in recliner chair 30% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098260 - aspiration, vomited less, chest pain OA 1930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098266 -  ..
098267 - Kardia recorded HR 069 at 2234, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098268 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098269 - after hiking 00 miles temp __, per above, ref SDS 0 MKCT, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098270 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098271 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098272 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098273 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098276 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098277 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260825-ecg-223427_mile_00_069_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098282 -  ..
098283 - Post hike HR profile beginning 2144, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098284 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098285 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098286 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098287 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098288 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098291 -        ..
098292 -       Date      260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501    
098293 -       Time       2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033     
098294 -       Hours        10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10      10     
098295 -       HR AVG       62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65      78     
098296 -       HR MAX      130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     116     
098297 -       HR Min       36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48      48     
098298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098301 -              https://flow.polar.com/training/analysis/8407661473                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098303 -  ..
098304 - HRV seems   0% 0 and  30% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098307 -   
098308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098311 -  ..
098312 - Breakfast - eggs roast beef onion cheese omlett - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098313 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098314 - Dinner - macaroni cheese hamburger broccoli onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098316 -  ..
098317 - Vomiting: 0% - bloating PL 5 - chest PL 6 OA 1930 for 40 min - before dinner at 2030                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098353 -         ..
098354 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098355 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098356 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098357 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098358 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098359 -  132.  260826 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098360 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098361 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
098362 -               0730....BP HR..................................................... 157  84  42  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098363 -               0735....BP HR..................................................... 163  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098364 -               0740....BP HR..................................................... 164  74  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098365 -               0755....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098366 -               0755....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098367 -               0755....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
098368 -               0000...
098369 -  ..
098370 -               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                                                                                                                                                                                                                                                                                  
098371 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098372 -               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                                                                                                                                                                                                                                                                                                                                                                                   
098373 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098374 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098375 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098376 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098377 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098378 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098379 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098382 -  ..
098383 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098384 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098386 -  ..
098387 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098388 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098389 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098390 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098391 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098392 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098394 -  ..
098395 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098396 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098398 -  ..
098399 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098400 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098402 -  ..
098403 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098404 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098410 -  ..
098411 - Kardia recorded HR 051 at 0854, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098412 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098413 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098414 - MKCT, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098415 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098416 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098417 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098420 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098421 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260826-ecg-085428_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098427 -  ..
098428 - Post hike HR profile beginning 2004, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098429 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098430 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098431 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098432 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098433 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098436 -        ..
098437 -       Date      260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502    
098438 -       Time       2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223     
098439 -       Hours         9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10      10     
098440 -       HR AVG       53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69      65     
098441 -       HR MAX       97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     128     
098442 -       HR Min       37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46      48     
098443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098446 -              https://flow.polar.com/training/analysis/8408255503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098448 -  ..
098449 - HRV seems  10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098452 -   
098453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098456 -  ..
098457 - Breakfast - eggs roast beef onion cheese omlett - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098458 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098459 - Dinner - macaroni cheese hamburger broccoli onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098461 -  ..
098462 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098498 -         ..
098499 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098500 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098501 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098502 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098503 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098504 -  132.  260827 0500............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098505 -               0500....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098506 -               0505....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
098507 -               0510....BP HR..................................................... 163  73  44  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098508 -               0515....BP HR..................................................... 163  76  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098509 -               0520....BP HR..................................................... 153  75  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098510 -               0525....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098511 -               0930....Magnesium 300 mg 1 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098512 -               0930....Turmeric Curcumin 2250 mg took 1 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
098513 -               0000...
098514 -  ..
098515 -               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                                                                                                                                                                                                                                                                                  
098516 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098517 -               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                                                                                                                                                                                                                                                                                                                                                                                   
098518 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098519 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098520 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098521 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098522 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098523 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098524 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098525 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098528 -  ..
098529 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098530 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098532 -  ..
098533 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098534 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098535 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098536 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098537 - hiking declined considerably - may return since hiking increased OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098538 - 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098540 -  ..
098541 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098542 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098544 -  ..
098545 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098546 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098548 -  ..
098549 - Reflux slept in bed 20%, and in recliner chair 80% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098550 - aspiration, chest pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098555 -  ..
098556 - Kardia recorded HR 044 at 0525, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098557 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098558 - hiking 00 miles temp __, per above, ref SDS 0 YXLQ, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098559 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098560 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098561 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098562 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098565 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098566 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260827-ecg-052558_mile_00_044_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098572 -  ..
098573 - Post hike HR profile beginning 2007, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098574 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098575 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098576 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098577 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098578 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098581 -        ..
098582 -       Date      260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503    
098583 -       Time       2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943    2023     
098584 -       Hours        10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11      10     
098585 -       HR AVG       57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77      69     
098586 -       HR MAX       86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     106     
098587 -       HR Min       37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47      46     
098588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098591 -              https://flow.polar.com/training/analysis/8408964501                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098593 -  ..
098594 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098597 -   
098598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098601 -  ..
098602 - Breakfast - eggs roast beef onion cheese omlett                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098603 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098604 - Dinner - macaroni cheese hamburger broccoli onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098606 -  ..
098607 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098644 -         ..
098645 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098646 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098647 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098648 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098649 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098650 -  132.  260828 0600............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098651 -               0600....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098652 -               0605....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
098653 -               0610....BP HR..................................................... 168  76  62  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098654 -               0615....BP HR..................................................... 188  68  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098655 -               0620....BP HR..................................................... 154  83  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098656 -               0625....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098657 -               0830....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098658 -               0830....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
098659 -               0830... 02   CoQ10 Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098660 -               0830....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098661 -               0830....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098662 -               0830....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098663 -               0905....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098664 -               0935... 05   CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098665 -               0935....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
098666 -               0000...
098667 -  ..
098668 - Polar lost    0940....miles...........  26.0  44.0  422   723 minutes  temp  78 wind 10  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098669 - connection    0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098670 -               1232....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098671 -               1232....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098672 -               1232... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098673 -               1232... 02   CoQ10 Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098674 -               1232....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
098675 - forgot pills  0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098676 -               0000....mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098677 -               1630... Magnesium 300 mg 1 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098678 -               1630... 02   CoQ10 Ubiquinol took 1 pill  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098679 -               1630... 20   4060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098680 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098681 -               1724... Hike ends mile 26... ref SDS 0 ZGDW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098682 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098683 -               1735....weight.................................... 179  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098684 -               1740....BP HR..................................................... 125  77 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098685 -               1745....BP HR..................................................... 111  69  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098686 -               1750....BP HR..................................................... 113  69  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098687 -               0000...
098688 -  ..
098689 -               1750... 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                                                                                                                                                                                                                                                                                  
098690 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098691 -               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                                                                                                                                                                                                                                                                                                                                                                                   
098692 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098693 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098694 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098695 -               2100... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098696 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098697 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098698 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098699 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098702 -  ..
098703 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098704 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098706 -  ..
098707 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098708 - pain no longer in toes down to heels.  Symptoms have increased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098709 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098710 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098711 - hiking declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098713 -  ..
098714 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098715 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098717 -  ..
098718 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098719 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098721 -  ..
098722 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098723 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098727 -  ..
098728 - Summary... swallowing nutrition, hydration and meds improved but still difficult after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098729 - dilation on 250821 - bloating PL 5 disappointing.  Lower temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098730 - helpful extending hike to 26 miles - no hiking rash.  Energy waned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098731 - mile 23 - took another magnesium and another CoQ10 pill.  No chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098732 - positive sign.  Good results wearing Hoka Clifton 11 shoes for 4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098733 - hike, except blisters top right foot #3, 4, 5.  Need toe caps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098734 - Changing socks mile 17, helped reduce feet pressure.  No knee pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098735 - 26 mile hikes indicates pain prior hike annomolous.  Need investigate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098736 - why Polar GPS/HR monitor fell out of mode and lost all data about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098737 - mile 23?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098739 -             ..
098740 -            [On 260828 2305 Polar Grit GPs/HR monitor fell out of mode,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098741 -            indicating battery failure.  Bought new device, ref SDS D5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098742 -            9X5J  Filed claim for recovery from Polar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098745 -         ..
098746 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098747 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098748 -        Stomach pain bloating - unstable ANS.........   6         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
098749 -        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                                                                                                                                                                                                                                                                                                                                                                                         
098750 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098751 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098752 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098753 -        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                                                                                                                                                                                                                                                                                                                           
098754 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098755 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098756 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098757 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098758 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
098759 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098760 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
098761 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098762 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
098763 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098764 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098765 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098766 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098767 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
098768 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098769 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098770 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098771 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098772 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098773 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098774 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098775 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098776 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098777 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098778 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098779 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098780 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098781 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098782 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098783 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098784 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098785 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098786 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
098787 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098788 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098789 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
098790 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
098791 -        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                                                                                                                                                                                                                                                                                                                           
098792 -        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                                                                                                                                                                                                                                                                                                                                                                                    
098793 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098794 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
098795 -        Callus big toe left foot.....................   2         30  wearing Hoka Clifton 11 shoes 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098796 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098797 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098798 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
098799 -        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                                                                                                                                                                                                                                                                                                                                           
098800 -        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                                                                                                                                                                                                                                                                                                                                           
098801 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098802 -        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                                                                                                                                                                                                                                                                                                                                                                                      
098803 -        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                                                                                                                                                                                                                                                                                                                                                                                        
098804 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
098805 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
098806 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098807 -        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                                                                                                                                                                                                                                                                                                                                                              
098808 -        Callus little toe #5 left foot...PRP 210705..   3         30  peeled section of callus before starting hike - did not cause wound like peeling callus on #1, resulted in no pain entire hike                                                                                                                                                                                                                                                                                                                                                                                                               
098809 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
098810 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098811 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098812 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
098813 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098814 -        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                                                                                                                                                                                                                                                                                          
098815 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
098816 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098817 -        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                                                                                                                                                                                                                                                                                                                                                                               
098818 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098819 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098820 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098821 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098822 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098823 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098824 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098825 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
098826 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098827 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098831 -  ..
098832 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098833 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098834 - ref SDS D1 EQ7K  Very good hike mostly PL 0.  Best cushioning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098835 - metatarsalgia PL 2 good result, pain top both feet #3s, 4s, 5s - need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098836 - toe caps.  Injury reduced by switching socks at mile 17, at college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098837 - Minimal lateral pressure left foot #1 and #5.  Lateral pressure left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098838 - foot #1 and #5 - no lateral pressure right foot.  Excellent rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098839 - energy, like Hoka Bondi 9, and Mount to Coast.  Feet very secure in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098840 - shoe including on uneven surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098842 -  ..
098843 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098844 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098845 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098846 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098848 -  ..
098849 - Callus Injuries - in recent weeks, have peeled large sections of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098850 - callus on left foot #1 edge and bottom of toe, completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098851 - per above. ref SDS 0 TI2H  Doctor Tang and his assistant, John, in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098852 - Podiatry maintained wounds from these feet callus removals on 260730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098853 - 0900. ref SDS C9 5A4I  Felt some pressure left foot #1 and #5 last 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098854 - miles - seems to be growing again, disappointing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098856 -  ..
098857 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098858 - dual-ply Wrightsocks socks, and switched to Smart Wool socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098859 - 17, to reduce moisture buildup that contributes to calluses and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098860 - blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098864 -  ..
098865 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098866 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098867 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098868 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098869 - 1 Naproxen 500 mg for pain management.  There is no metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098870 - in feet starting hike today, and both feet #1 and #5 calluses both PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098871 - 0 - were shaved down by Doctor Tang in VAMC Podiatry on 260730 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098872 - ref SDS C9 5H6F; left foot #1 #5 calluses growing again, possibly more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098873 - slowly.  Took 4 Magnesium Complex 300 mg pills for cellular energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098874 - absorbing lactic acid, and reducing inflammation, all to enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098875 - that increases HDL and EPCs, which together regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098876 - vessel - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098877 - capsules for energy - CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098878 - supports an electron transport chain (ETC) giving human cells energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098879 - and protects heart tissue from harmful free radicals and stress - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098880 - case study on 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098881 - 2250 mg pills to resolve inflammation, essential for HDL to rise - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098882 - again case study on 200101 0701. ref SDS 21 NKSY  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098883 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098884 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098885 - easier when swallowed combined with food chewed to a slurry combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098886 - with carbonated softdrink.  About 20 minutes later, after dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098887 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098888 - ref SDS 0 6VAH  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098889 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098890 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098891 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098892 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098893 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098894 - injuries, e.g., calluses.  Initially, hiked 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098895 - block to start hike, which identifies bloating and feet wound issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098896 - that can be treated, before problems arise miles from home.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098897 - Cuneo .25 mile and turned left, onto Treat - was hiking well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098898 - immediately, due in part to new Hoka Clifton 11 shoes with very good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098899 - rebound energy.  Steady hiking caused HDL 65 on 260302, but pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098900 - lowered to HDL 51 on 260727; daily hiking for next 10 days, elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098901 - lipids back to HDL 55 on 260806 0901. ref SDS D0 UE6H  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098902 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098903 - sustained, despite disparate hiking last few months, and have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098904 - hiking Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098905 - to Cliff House and on Point Lobos returning to hospital, per above on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098906 - 260727. ref SDS 0 9SAH  Started hike in morning OA 0930, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098907 - temperature at 70, and reached 79.  East wind 10 mph and mostly 7 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098908 - Continued East on Treat .5 miles.  Traffic light after morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098909 - commute.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098910 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098911 - very light traffic.  Maintained normal pace 15 minute miles.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098912 - hike across Newhall Community park and back today.  Continued uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098913 - 4% grade to end of Turtle Creek.  Turned left onto Ayers heading East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098914 - .75 miles on asphalt road shoulder.  At mile 4, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098915 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098916 - of shopping complex.  Stopped at Lucky store to buy banana with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098917 - potassium that complements meds for energy, and aids swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098918 - to slip through tightening LESV, pending EGD dilation on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098919 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098920 - sidewalk .5 miles.  Energy maintained - no need to stop at Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098921 - Mike's Pizza restaurant to take meds for energy deficit caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098922 - dysfunctional ANS, occurred previously, e.g., on 250418 in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098923 - on 250101 0704. ref SDS 71 OFS1  Turned right going West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098924 - Valley Road still using concrete sidewalk .5 miles that cause feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098925 - knee injuries.  Hoka Clifton shoe cushioning moderates these injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098926 - Continued past Park Highlands Road at traffic stoplight and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098927 - West .25 miles on very narrow asphalt shoulder next to high risk heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098928 - morning commute traffic.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098929 - hiking on wider shoulder past stoplight at Michigan Boulevard.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098930 - another .25 miles to Chevron gas station and store.  At mile 6, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098931 - left onto Pine Hollow, - hiked East 2.5 miles.  At end of Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098932 - turned around and hiked back.  Turned right onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098933 - and stopped at Chevron gas station store mile 12, time 1232, temp 77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098934 - and wind 9 mph; EKG looks mostly uniform with some artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098935 - reported HR 110 Tachycardia, - see below. ref SDS 0 NP8K  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098936 - 5, energy deficit PL 0, both feet metatarsalgia PL 2.  Left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098937 - 0 and #5 PL 3.  Right foot #5 PL 2; top of #3, #4, #5 PL 2.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098938 - Naproxen 500 mg total today 2, for pain.  Took 4 Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098939 - mg pills - total today 8; and, took 2 CoQ10 pills - total today 4 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098940 - which together increase energy for hiking that increases HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098941 - telomeres. per above.  Took 2 Turmeric Curcumin 2250 mg - total today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098942 - 4, that reduce inflammation from injuries, which enables HDL to rise.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098943 - Less difficulty swallowing meds with bites of banana and sips of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098944 - softdrink, that previously reported on 260806, and after EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098945 - on 260821 0830. ref SDS D3 433O  Sips softdrink purchased from Chev                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098946 - store for hydration and swallowing nutrition - banana purchased at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098947 - Lucky store enables swallowing medication pills combined with bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098948 - banana to slip through LESV now expanded on 260821.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098949 - CoQ10 0.6 ml liquid for HDL and energy to finish hike.  Forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098950 - bring Nuun electrolyte pill, all per above. ref SDS 0 SB1R  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098951 - hike heading East on Ygnacio again.  After about .5 mile turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098952 - at Michigan Boulevard and hiked back to Chevron.  Turned onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098953 - Hollow hiking 1.5 mile East.  At Pennsylvania Boulevard turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098954 - and went back.  Turned left heading West on Campus Drive.  Continued 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098955 - mile West uphill 3% grade against wind 10 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098956 - Turned left heading West on Ygnacio Valley road .50 mile.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098957 - < 80 became a factor that did not reduce hiking energy.  At Crystal
098958 - Ranch Road, turned around and hiked back.  Turned onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098959 - again and hiked uphill 4% grade .3 mile.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098960 - California State University East Bay Concord Campus - mile 17.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098961 - 3 loops around main buildings - used exercise equipment at back of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098962 - buildings to do 20 partial pullups and pushups each pass.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098963 - Visitor Parking mile 20, hiked loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098964 - parking lots.  At mile 22, left the college heading North downhill on
098965 -  ..
098966 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098967 - flat grade .5 miles.  About mile 23, noticed Polar Grit GPS/HR wrist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098968 - monitor flipped out of Hiking mode and was displaying only watch time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098969 - Reset to Hiking mode, but 23 miles of hiking diagnostics showing level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098970 - of dysfunctional ANS are lost.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098971 - heading West on Ygnacio Valley road .5 mile uphill 3% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098972 - wind 5 mph - temp 79.  Feeling weak.  While hiking took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098973 - magnesium 300 mg pill with another CoQ10 pill with bites rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098974 - banana, and sips liquid CoQ10 about time 1630, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098975 - SB1R  Continued on up past Cowell.  At summit mile 24, turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098976 - going .5 mile back.  Turned left onto Cowell going .25 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098977 - 5% grade.  Continued .25 mile flat grade, then .5 mile downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098978 - grade with no shoulder separating narrow commute traffic lane.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098979 - left onto Treat .25 mile; turned right on Cunio and home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098980 - mile 26 time 1724 temp 79, wind 10, bloating PL 5, energy deficit 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098981 - feet metatarsalgia PL 2, left foot #1 edge PL 2, #5 edge PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098982 - foot #1 PL 0, #5 PL 3, top #3, #4 blistering PL 5, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098983 - PL 0.  EKG sinus with some artifact, Kardia reported HR 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098984 - Tachycardia - see below. ref SDS 0 ZGDW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098995 -  ..
098996 - Kardia recorded HR 045 at 0703, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098997 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098998 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098999 - 6X2U, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099000 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099001 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099002 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099005 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099006 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260828-ecg-070338_mile_00_045_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099012 -  ..
099013 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099014 - California, lost connection had to restart mile 23 at college with max                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099015 - temperature 79, - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099016 - ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099017 - ..
099018 -                                                                                                                                                                                                                                                                                                              x
099019 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099020 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099021 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099022 -       Date          260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 25042  
099023 -       Miles            26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26  
099024 -       HR AVG           no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119  
099025 -  **     MAX          report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135  
099026 -         Min                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41     69     60  
099027 -       El Climb Ft                                 570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489    489    489  
099028 -       Temp Max         79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65     77     82  
099029 -       Wind Max         10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21     21      9  
099030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099032 -   ..
099033 -  Somehow Polar system went offline at mile 23, 80% through hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099038 -  ..
099039 - EKG at mile 12 time 1232, HR 128 temp 77, wind 9; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099040 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099041 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099044 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099045 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260828-ecg-123237_mile_12_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099050 -  ..
099051 - End hike EKG at mile 26, time 1724 HR 119 temp 79, wind 10 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099052 - EKG reported Tachycardia... looks like sinus mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099053 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099056 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099057 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260828-ecg-172435_mile_26_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099066 -  ..
099067 - Post hike HR profile beginning 2004, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099068 - hiking 26 miles with temperature 79, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099069 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099070 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099071 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099072 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099075 -        ..
099076 -       Date      260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505  250504    
099077 -       Time       2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111    1943     
099078 -       Hours        12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10      11     
099079 -       HR AVG       62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70      77     
099080 -       HR MAX      115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     119     
099081 -       HR Min       38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45      47     
099082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099085 -              https://flow.polar.com/training/analysis/8409672377                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099087 -  ..
099088 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099091 -   
099092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099095 -  ..
099096 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099097 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099098 - Dinner - macaroni cheese hamburger broccoli onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099100 -  ..
099101 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099138 -         ..
099139 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099140 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099141 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099142 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099143 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099144 -  132.  260829 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099145 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099146 - pause CT dig  0000....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
099147 -               0730....BP HR..................................................... 168  76  62  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099148 -               0735....BP HR..................................................... 188  68  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099149 -               0740....BP HR..................................................... 154  83  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099150 -               0745....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099151 -               0730....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099152 -               0730....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
099153 -               0000...
099154 -  ..
099155 - pause CT dig  0000... 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                                                                                                                                                                                                                                                                                  
099156 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099157 -               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                                                                                                                                                                                                                                                                                                                                                                                   
099158 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099159 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099160 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099161 - pause CT dig  0000... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099162 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099163 - pause CT dig  0000... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099164 - pause CT dig  0000... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099165 - pause CT dig  0000... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099168 -  ..
099169 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099170 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099172 -  ..
099173 - Peripheral Neuropathy, restless legs and/or PAD has decreased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099174 - pain no longer in toes down to heels.  Symptoms have decreased pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099175 - and needles tingling in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099176 - chair.  Restless legs has not occurred for awhile, maybe because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099177 - hiking declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099179 -  ..
099180 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099181 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099183 -  ..
099184 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099185 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099187 -  ..
099188 - Reflux slept in bed 100%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099189 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099196 -  ..
099197 - Kardia recorded HR 047 at 0815, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099198 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099199 - likely no AFL after hiking 26 miles temp 79, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099200 - 6VAH, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099201 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099202 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099203 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099206 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099207 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260829-ecg-081507_mile_00_047_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099212 -  ..
099213 - Post hike HR profile beginning 1928, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099214 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099215 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099216 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099217 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099218 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099221 -        ..
099222 -       Date      260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506  250505    
099223 -       Time       1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049    2111     
099224 -       Hours        13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7      10     
099225 -       HR AVG       61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68      70     
099226 -       HR MAX      117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     117     
099227 -       HR Min       36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45      45     
099228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099231 -              https://flow.polar.com/training/analysis/8410341210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099233 -  ..
099234 - HRV seems  10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099237 -   
099238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099240 -  ..
099241 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099242 - Lunch - sandwich roast beef cheese onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099243 - Dinner - steak macaroni cheese hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099245 -  ..
099246 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099284 -         ..
099285 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099286 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099287 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099288 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099289 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099290 -  132.  260830 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099291 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099292 - pause CT dig  0000....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
099293 -               0730....BP HR..................................................... 152  75  53  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099294 -               0735....BP HR..................................................... 173  64  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099295 -               0740....BP HR..................................................... 154  73  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099296 -               0745....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099297 -               1100....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099298 -               1100....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
099299 -               1100... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099300 -               1100....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099301 -               1100....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099302 -               1100....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099303 -               1100....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099304 -               1130... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099305 -               1130....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
099306 -               0000...
099307 -  ..
099308 -               1208....miles...........  22.0  66.0  352  1075 minutes  temp  85 wind 11  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099309 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099310 -               1528....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099311 -               1528....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099312 -               1528... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099313 -               1528... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099314 -               1528....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
099315 -               1528... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099316 -               1528... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099317 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099318 -               1724... Hike ends mile 26... ref SDS 0 ZGDW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099319 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099320 -               1735....weight.................................... 179  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099321 -               1740....BP HR..................................................... 125  77 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099322 -               1745....BP HR..................................................... 111  69  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099323 -               1750....BP HR..................................................... 113  69  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099324 -               0000...
099325 -  ..
099326 - pause CT dig  0000... 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                                                                                                                                                                                                                                                                                  
099327 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099328 -               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                                                                                                                                                                                                                                                                                                                                                                                   
099329 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099330 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099331 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099332 - pause CT dig  0000... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099333 - pause CT dig  0000... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099334 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099335 - pause CT dig  0000... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099336 - pause CT dig  0000... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099339 -  ..
099340 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099341 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099343 -  ..
099344 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099345 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099346 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099347 - feet are elevated in reclining chair.  Restless legs has not occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099348 - for awhile, maybe because hiking declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099350 -  ..
099351 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099352 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099354 -  ..
099355 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099356 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099358 -  ..
099359 - Reflux slept in bed 100%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099360 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099364 -  ..
099365 - Summary... swallowing nutrition, hydration and meds improved but still difficult after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099366 - dilation on 250821 - bloating PL 5 disappointing.  Higher temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099367 - causing some hiking rash quads above knees.  Still good results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099368 - wearing Hoka Clifton 11 shoes for 5th hike, except blisters top right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099369 - foot #3, 4, 5.  Changing socks mile 12, helped reduce feet pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099372 -         ..
099373 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099374 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099375 -        Stomach pain bloating - unstable ANS.........   5         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
099376 -        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                                                                                                                                                                                                                                                                                                                                                                                         
099377 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099378 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099379 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099380 -        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                                                                                                                                                                                                                                                                                                                           
099381 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099382 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099383 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099384 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099385 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
099386 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099387 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
099388 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099389 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
099390 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099391 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099392 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099393 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099394 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
099395 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099396 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099397 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099398 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099399 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099400 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099401 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099402 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099403 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099404 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099405 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099406 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099407 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099408 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099409 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099410 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099411 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099412 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099413 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
099414 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099415 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099416 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
099417 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
099418 -        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                                                                                                                                                                                                                                                                                                                           
099419 -        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                                                                                                                                                                                                                                                                                                                                                                                    
099420 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099421 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
099422 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099423 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099424 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099425 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
099426 -        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                                                                                                                                                                                                                                                                                                                                           
099427 -        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                                                                                                                                                                                                                                                                                                                                           
099428 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099429 -        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                                                                                                                                                                                                                                                                                                                                                                                      
099430 -        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                                                                                                                                                                                                                                                                                                                                                                                        
099431 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
099432 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
099433 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099434 -        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                                                                                                                                                                                                                                                                                                                                                              
099435 -        Callus little toe #5 left foot...PRP 210705..   1         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099436 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
099437 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099438 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099439 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
099440 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099441 -        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                                                                                                                                                                                                                                                                                          
099442 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
099443 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099444 -        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                                                                                                                                                                                                                                                                                                                                                                               
099445 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099446 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099447 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099448 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099449 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099450 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099451 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099452 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
099453 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099454 -        Hiker's rash vasculitis.see 210618...........   3          5  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099458 -  ..
099459 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099460 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099461 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099462 - metatarsalgia PL 2 good result, pain top both feet #3s, 4s, 5s - tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099463 - toe caps both feet #5s, need caps right foot #4 and 5.  Injury reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099464 - by switching socks at Chev store, mile 12.  Minimal lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099465 - left foot #1 and #5.  No lateral pressure right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099467 -  ..
099468 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099469 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099470 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099471 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099473 -  ..
099474 - Callus Injuries - peeled large sections of callus on left foot #1 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099475 - and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099476 - Doctor Tang and his assistant, John, in VA Podiatry maintained wounds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099477 - from these feet callus removals on 260730 0900. ref SDS C9 5A4I  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099478 - some pressure left foot #1 and #5 last 5 miles - seems to be growing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099479 - again, disappointing.  Wore toe caps both feet #5s and left foot #1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099480 - purchased on 260823 1100. ref SDS D4 CF5I  Need caps right foot #34&5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099482 -  ..
099483 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099484 - dual-ply Wrightsocks socks, and switched to Smart Wool socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099485 - 12, to reduce moisture buildup that contributes to calluses and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099486 - blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099490 -  ..
099491 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099492 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099493 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099494 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099495 - 1 Naproxen 500 mg for pain management.  No metatarsalgia pain in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099496 - starting hike today, and both feet #1 and #5 calluses PL 0 - were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099497 - shaved down by Doctor Tang in VAMC Podiatry on 260730 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099498 - ref SDS C9 5H6F; left foot #1 #5 calluses growing again, possibly more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099499 - slowly - wore toe caps today, purchased on 260823 1100. ref SDS D4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099500 - CF5I  Took 4 Magnesium Complex 300 mg pills for cellular energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099501 - absorbing lactic acid, and reducing inflammation, all to enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099502 - that increases HDL and EPCs, which together regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099503 - vessel - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099504 - capsules for energy - CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099505 - supports an electron transport chain (ETC) giving human cells energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099506 - and protects heart tissue from harmful free radicals and stress - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099507 - case study on 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099508 - 2250 mg pills to resolve inflammation, essential for HDL to rise - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099509 - again case study on 200101 0701. ref SDS 21 NKSY  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099510 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099511 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099512 - easier when swallowed combined with food chewed to a slurry combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099513 - with carbonated softdrink.  About 20 minutes later, after dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099514 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099515 - ref SDS 0 6KSZ  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099516 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099517 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099518 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099519 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099520 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099521 - injuries, e.g., calluses.  Initially, hiked 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099522 - block to start hike, which identifies bloating and feet wound issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099523 - that can be treated, before problems arise miles from home.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099524 - Cuneo .25 mile and turned left, onto Treat - was hiking well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099525 - immediately, due in part to new Hoka Clifton 11 shoes with good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099526 - rebound energy.  Steady hiking caused HDL 65 on 260302, but pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099527 - lowered to HDL 51 on 260727; daily hiking for next 10 days, elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099528 - lipids back to HDL 55 on 260806 0901. ref SDS D0 UE6H  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099529 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099530 - sustained, despite disparate hiking last few months, and have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099531 - hiking Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099532 - to Cliff House and on Point Lobos returning to hospital, per above on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099533 - 260727. ref SDS 0 9SAH  Started hike in morning OA 0930, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099534 - temperature at 70, and reached 79.  East wind 11 mph and mostly 7 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099535 - Continued East on Treat .5 miles.  Traffic light Sunday morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099536 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099537 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099538 - traffic.  Maintained normal pace 15 minute miles.  Hiked across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099539 - Newhall Community park and back today.  Continued uphill 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099540 - end of Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099541 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099542 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099543 - complex paralell to Clayton Road.  Stopped at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099544 - banana with potassium that complements meds for energy, and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099545 - swallowing meds to slip through LESV, after EGD dilation on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099546 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099547 - sidewalk .5 miles.  Seemed like energy might be waning, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099548 - stop at Mountain Mike's Pizza restaurant to take meds for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099549 - deficit caused by dysfunctional ANS, occurred previously, e.g., on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099550 - 250418 in case study on 250101 0704. ref SDS 71 OFS1  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099551 - going West on Ygnacio Valley Road still using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099552 - miles that cause feet and knee injuries.  Hoka Clifton shoe cushioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099553 - moderates these injuries.  Continued past Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099554 - traffic stoplight and heading West .25 miles on very narrow asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099555 - shoulder next to high risk heavy traffic.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099556 - Ygnacio Valley Road hiking on wider shoulder past stoplight at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099557 - Michigan Boulevard.  Hiked another .25 miles to Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099558 - and store.  At mile 7, turned left onto Pine Hollow, - hiked East 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099559 - miles.  At end of Pine Hollow turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099560 - right onto Ygnacio Valley Road and stopped at Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099561 - store mile 12, time 1528, temp 85 and wind 11 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099562 - with no artifact, Kardia reported HR 118 Tachycardia, - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099563 - ref SDS 0 FEXQ  Bloating PL 4, energy deficit PL 1, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099564 - metatarsalgia PL 2.  Left foot #1 PL 1 and #5 PL 2.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099565 - 1; top of #3, #4, #5 PL 4.  Took 1 Naproxen 500 mg total today 2, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099566 - pain.  Took 4 Magnesium complex 300 mg pills - total today 8; and,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099567 - took 2 CoQ10 pills - total today 4 - which together increase energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099568 - for hiking that increases HDL and telomeres. per above.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099569 - Turmeric Curcumin 2250 mg - total today 4, that reduce inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099570 - from injuries, which enables HDL to rise.  Less difficulty swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099571 - meds with bites of banana and sips of softdrink, than previously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099572 - reported on 260806, and after EGD dilation on 260821 0830. ref SDS D3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099573 - 433O  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099574 - swallowing nutrition - banana purchased at Lucky store enables                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099575 - swallowing medication pills combined with bites of banana to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099576 - through LESV now expanded from 15 to 19.5 mm on 260821.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099577 - Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to finish hike.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099578 - Nuun electrolyte pill, all per above. ref SDS 0 4ARE  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099579 - heading East on Ygnacio again.  After about .5 mile turned around at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099580 - Michigan Boulevard and hiked back to Chevron.  At mile 13, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099581 - onto Pine Hollow - hiked East 2.5 miles.  At end of Pine Hollow turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099582 - around and hiked back.  At mile 18, turned left heading West on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099583 - Drive.  Continued 1 mile West uphill 3% grade against wind 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099584 - The road bends North.  At stop light crossed Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099585 - continued North on Ayers .5 mile.  Turned left and hiked 2 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099586 - on Turtle Creek Road.  Turned left onto Treat 1 mile to Cowell, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099587 - Cunio.  Hiked .25 mile to Kaski and came back, then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099588 - mile 22 time 1902 temp 77, wind 11, bloating PL 4, energy deficit 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099589 - feet metatarsalgia PL 2, left foot #1 edge PL 1, #5 edge PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099590 - foot #1 PL 0, #5 PL 1, top #3, #4 blistering PL 4, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099591 - PL 0.  EKG sinus with some artifact, Kardia reported HR 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099592 - Tachycardia - see below. ref SDS 0 RQLG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099603 -  ..
099604 - Kardia recorded HR 046 at 0907, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099605 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099606 - likely no AFL after hiking 26 miles temp 79, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099607 - 6F2D, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099608 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099609 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099610 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099613 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099614 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260830-ecg-090743_mile_00_046_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099620 -  ..
099621 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099622 - California, lost connection had to restart mile 23 at college with max                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099623 - temperature 79, - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099624 - ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099625 - ..
099626 -                                                                                                                                                                                                                                                                                                              x
099627 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099628 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099629 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099630 -       Date          260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 25042  
099631 -       Miles            22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25  
099632 -       HR AVG          117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108  
099633 -  **     MAX           139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report report report report report report  141   report report  119    159  
099634 -         Min            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                   57     41  
099635 -       El Climb Ft     650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                  489    489  
099636 -       Temp Max         85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                   63     65  
099637 -       Wind Max         11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                   18     21  
099638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099640 -              https://flow.polar.com/training/analysis/8410599277                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099643 -               ..
099645 -   
099646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099650 -  ..
099651 - EKG at mile 12 time 1528, HR 118 temp 85, wind 11; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099652 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099653 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099656 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099657 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260830-ecg-152859_mile_12_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099662 -  ..
099663 - End hike EKG at mile 22, time 1902 HR 117 temp 77, wind 11 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099664 - EKG reported Tachycardia... looks like sinus mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099665 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099668 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099669 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260830-ecg-190200_mile_22_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099678 -  ..
099679 - Post hike HR profile beginning 2017, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099680 - hiking 22 miles with temperature 85, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099681 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099682 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099683 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099684 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099687 -        ..
099688 -       Date      260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507  250506    
099689 -       Time       2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833    0049     
099690 -       Hours        10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7       7     
099691 -       HR AVG       69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79      68     
099692 -       HR MAX      140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     107     
099693 -       HR Min       38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51      45     
099694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099697 -              https://flow.polar.com/training/analysis/8410883789                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099699 -  ..
099700 - HRV seems  30% 0 and  40% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099703 -   
099704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099707 -  ..
099708 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099709 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099710 - Dinner - macaroni cheese hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099712 -  ..
099713 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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099735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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099738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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099745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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099747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099751 -         ..
099752 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099753 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099754 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099755 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099756 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099757 -  132.  260831 0615............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099758 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099759 - pause CT dig  0000....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
099760 -               0630....BP HR..................................................... 152  75  53  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099761 -               0635....BP HR..................................................... 173  64  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099762 -               0640....BP HR..................................................... 154  73  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099763 -               0645....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099764 -               0000....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099765 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
099766 -               0000... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099767 -               0000....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099768 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099769 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099770 -               0000....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099771 -               0030... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099772 -               0030....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
099773 -               0000...
099774 -  ..
099775 - Dur Dig test  1120....miles...........   6.0   6.0  105   105 minutes  temp  70 wind 16  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099776 - at VA Martz   0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099777 -               1528....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099778 -               1528....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099779 -               1528... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099780 -               1528... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099781 -               1528....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
099782 -               1528... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099783 -               1528... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099784 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099785 -               1724... Hike ends mile 26... ref SDS 0 ZGDW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099786 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099787 -               1735....weight.................................... 179  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099788 -               1740....BP HR..................................................... 125  77 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099789 -               1745....BP HR..................................................... 111  69  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099790 -               1750....BP HR..................................................... 113  69  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099791 -               0000...
099792 -  ..
099793 -               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                                                                                                                                                                                                                                                                                  
099794 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099795 -               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                                                                                                                                                                                                                                                                                                                                                                                   
099796 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099797 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099798 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099799 -               2100... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099800 -               2130... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099801 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099802 -               2200... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099803 -               2230... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099806 -  ..
099807 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099808 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099810 -  ..
099811 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099812 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099813 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099814 - feet are elevated in reclining chair.  Restless legs has not occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099815 - for awhile, maybe because hiking declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099817 -  ..
099818 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099819 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099821 -  ..
099822 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099823 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099825 -  ..
099826 - Reflux slept in bed 100%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099827 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099831 -  ..
099832 - Summary... swallowing nutrition, hydration and meds improved but still difficult after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099833 - dilation on 250821 - bloating PL 5 disappointing.  Higher temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099834 - causing some hiking rash quads above knees.  Still good results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099835 - wearing Hoka Clifton 11 shoes for 5th hike, except blisters top right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099836 - foot #3, 4, 5.  Changing socks mile 12, helped reduce feet pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099839 -         ..
099840 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099841 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099842 -        Stomach pain bloating - unstable ANS.........   5         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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
099843 -        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                                                                                                                                                                                                                                                                                                                                                                                         
099844 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099845 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099846 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099847 -        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                                                                                                                                                                                                                                                                                                                           
099848 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099849 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099850 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099851 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099852 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
099853 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099854 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
099855 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099856 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
099857 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099858 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099859 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099860 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099861 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
099862 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099863 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099864 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099865 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099866 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099867 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099868 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099869 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099870 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099871 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099872 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099873 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099874 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099875 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099876 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099877 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099878 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099879 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099880 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
099881 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099882 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099883 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
099884 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
099885 -        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                                                                                                                                                                                                                                                                                                                           
099886 -        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                                                                                                                                                                                                                                                                                                                                                                                    
099887 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099888 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
099889 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099890 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099891 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099892 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
099893 -        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                                                                                                                                                                                                                                                                                                                                           
099894 -        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                                                                                                                                                                                                                                                                                                                                           
099895 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099896 -        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                                                                                                                                                                                                                                                                                                                                                                                      
099897 -        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                                                                                                                                                                                                                                                                                                                                                                                        
099898 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
099899 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
099900 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099901 -        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                                                                                                                                                                                                                                                                                                                                                              
099902 -        Callus little toe #5 left foot...PRP 210705..   1         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099903 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
099904 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099905 -        Blister top foot at toe line right foot......   0        100  toes #3, 4 5 suffered no pain wearing new Hika Gabiota 6 shoes size 11.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099906 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
099907 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099908 -        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                                                                                                                                                                                                                                                                                          
099909 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
099910 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099911 -        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                                                                                                                                                                                                                                                                                                                                                                               
099912 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099913 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099914 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099915 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099916 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099917 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099918 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099919 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
099920 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099921 -        Hiker's rash vasculitis.see 210618...........   3          5  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099925 -  ..
099926 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099927 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099928 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099929 - metatarsalgia PL 2 good result, pain top both feet #3s, 4s, 5s - tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099930 - toe caps both feet #5s, need caps right foot #4 and 5.  Injury reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099931 - by switching socks at Chev store, mile 12.  Minimal lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099932 - left foot #1 and #5.  No lateral pressure right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099934 -  ..
099935 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099936 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099937 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099938 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099940 -  ..
099941 - Callus Injuries - peeled large sections of callus on left foot #1 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099942 - and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099943 - Doctor Tang and his assistant, John, in VA Podiatry maintained wounds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099944 - from these feet callus removals on 260730 0900. ref SDS C9 5A4I  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099945 - some pressure left foot #1 and #5 last 5 miles - seems to be growing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099946 - again, disappointing.  Wore toe caps both feet #5s and left foot #1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099947 - purchased on 260823 1100. ref SDS D4 CF5I  Need caps right foot #34&5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099949 -  ..
099950 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099951 - dual-ply Wrightsocks socks, and switched to Smart Wool socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099952 - 12, to reduce moisture buildup that contributes to calluses and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099953 - blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099957 -  ..
099958 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099959 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099960 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099961 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099962 - 1 Naproxen 500 mg for pain management.  No metatarsalgia pain in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099963 - starting hike today, and both feet #1 and #5 calluses PL 0 - were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099964 - shaved down by Doctor Tang in VAMC Podiatry on 260730 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099965 - ref SDS C9 5H6F; left foot #1 #5 calluses growing again, possibly more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099966 - slowly - wore toe caps today, purchased on 260823 1100. ref SDS D4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099967 - CF5I  Took 4 Magnesium Complex 300 mg pills for cellular energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099968 - absorbing lactic acid, and reducing inflammation, all to enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099969 - that increases HDL and EPCs, which together regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099970 - vessel - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099971 - capsules for energy - CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099972 - supports an electron transport chain (ETC) giving human cells energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099973 - and protects heart tissue from harmful free radicals and stress - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099974 - case study on 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099975 - 2250 mg pills to resolve inflammation, essential for HDL to rise - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099976 - again case study on 200101 0701. ref SDS 21 NKSY  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099977 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099978 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099979 - easier when swallowed combined with food chewed to a slurry combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099980 - with carbonated softdrink.  About 20 minutes later, after dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099981 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099982 - ref SDS 0 6KSZ  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099983 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099984 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099985 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099986 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099987 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099988 - injuries, e.g., calluses.  Initially, hiked 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099989 - block to start hike, which identifies bloating and feet wound issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099990 - that can be treated, before problems arise miles from home.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099991 - Cuneo .25 mile and turned left, onto Treat - was hiking well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099992 - immediately, due in part to new Hoka Clifton 11 shoes with good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099993 - rebound energy.  Steady hiking caused HDL 65 on 260302, but pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099994 - lowered to HDL 51 on 260727; daily hiking for next 10 days, elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099995 - lipids back to HDL 55 on 260806 0901. ref SDS D0 UE6H  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099996 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099997 - sustained, despite disparate hiking last few months, and have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099998 - hiking Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099999 - to Cliff House and on Point Lobos returning to hospital, per above on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100000 - 260727. ref SDS 0 9SAH  Started hike in morning OA 0930, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100001 - temperature at 70, and reached 79.  East wind 11 mph and mostly 7 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100002 - Continued East on Treat .5 miles.  Traffic light Sunday morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100003 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100004 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100005 - traffic.  Maintained normal pace 15 minute miles.  Hiked across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100006 - Newhall Community park and back today.  Continued uphill 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100007 - end of Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100008 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100009 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100010 - complex paralell to Clayton Road.  Stopped at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100011 - banana with potassium that complements meds for energy, and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100012 - swallowing meds to slip through LESV, after EGD dilation on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100013 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100014 - sidewalk .5 miles.  Seemed like energy might be waning, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100015 - stop at Mountain Mike's Pizza restaurant to take meds for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100016 - deficit caused by dysfunctional ANS, occurred previously, e.g., on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100017 - 250418 in case study on 250101 0704. ref SDS 71 OFS1  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100018 - going West on Ygnacio Valley Road still using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100019 - miles that cause feet and knee injuries.  Hoka Clifton shoe cushioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100020 - moderates these injuries.  Continued past Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100021 - traffic stoplight and heading West .25 miles on very narrow asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100022 - shoulder next to high risk heavy traffic.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100023 - Ygnacio Valley Road hiking on wider shoulder past stoplight at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100024 - Michigan Boulevard.  Hiked another .25 miles to Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100025 - and store.  At mile 7, turned left onto Pine Hollow, - hiked East 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100026 - miles.  At end of Pine Hollow turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100027 - right onto Ygnacio Valley Road and stopped at Chevron gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100028 - store mile 12, time 1528, temp 85 and wind 11 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100029 - with no artifact, Kardia reported HR 118 Tachycardia, - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100030 - ref SDS 0 FEXQ  Bloating PL 4, energy deficit PL 1, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100031 - metatarsalgia PL 2.  Left foot #1 PL 1 and #5 PL 2.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100032 - 1; top of #3, #4, #5 PL 4.  Took 1 Naproxen 500 mg total today 2, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100033 - pain.  Took 4 Magnesium complex 300 mg pills - total today 8; and,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100034 - took 2 CoQ10 pills - total today 4 - which together increase energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100035 - for hiking that increases HDL and telomeres. per above.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100036 - Turmeric Curcumin 2250 mg - total today 4, that reduce inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100037 - from injuries, which enables HDL to rise.  Less difficulty swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100038 - meds with bites of banana and sips of softdrink, than previously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100039 - reported on 260806, and after EGD dilation on 260821 0830. ref SDS D3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100040 - 433O  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100041 - swallowing nutrition - banana purchased at Lucky store enables                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100042 - swallowing medication pills combined with bites of banana to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100043 - through LESV now expanded from 15 to 19.5 mm on 260821.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100044 - Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to finish hike.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100045 - Nuun electrolyte pill, all per above. ref SDS 0 4ARE  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100046 - heading East on Ygnacio again.  After about .5 mile turned around at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100047 - Michigan Boulevard and hiked back to Chevron.  At mile 13, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100048 - onto Pine Hollow - hiked East 2.5 miles.  At end of Pine Hollow turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100049 - around and hiked back.  At mile 18, turned left heading West on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100050 - Drive.  Continued 1 mile West uphill 3% grade against wind 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100051 - The road bends North.  At stop light crossed Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100052 - continued North on Ayers .5 mile.  Turned left and hiked 2 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100053 - on Turtle Creek Road.  Turned left onto Treat 1 mile to Cowell, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100054 - Cunio.  Hiked .25 mile to Kaski and came back, then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100055 - mile 22 time 1902 temp 77, wind 11, bloating PL 4, energy deficit 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100056 - feet metatarsalgia PL 2, left foot #1 edge PL 1, #5 edge PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100057 - foot #1 PL 0, #5 PL 1, top #3, #4 blistering PL 4, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100058 - PL 0.  EKG sinus with some artifact, Kardia reported HR 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100059 - Tachycardia - see below. ref SDS 0 RQLG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100070 -  ..
100071 - Kardia recorded HR 045 at 0642, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100072 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100073 - likely no AFL after hiking 20 miles temp 85, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100074 - 6KSZ, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100075 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100076 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100077 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100080 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100081 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260831-ecg-064213_mile_00_045_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100086 -  ..
100087 - End hike EKG at mile  6, time 1307 HR 117 temp 77, wind 11 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100088 - EKG reported Tachycardia... looks like sinus mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100089 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100092 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100093 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260831-ecg-130713_mile_06_091_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100102 -  ..
100103 - Post hike HR profile beginning 2025, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100104 - hiking  6 miles with temperature 70, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100105 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100106 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100107 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100108 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100111 -        ..
100112 -       Date      260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508  250507    
100113 -       Time       2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106    1833     
100114 -       Hours        10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10       7     
100115 -       HR AVG       62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69      79     
100116 -       HR MAX      126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     112     
100117 -       HR Min       38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43      51     
100118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100121 -              https://flow.polar.com/training/analysis/8411613675                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100123 -  ..
100124 - HRV seems  30% 0 and  40% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100127 -   
100128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100131 -  ..
100132 - Breakfast - radioactive eggs toast for digestion study at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100133 - Lunch - half-sandwich roast beef onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100134 - Dinner - eggs macaroni cheese hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100136 -  ..
100137 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100176 -         ..
100177 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100178 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100179 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100180 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100181 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100182 -  132.  260901 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100183 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100184 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
100185 -               0730....BP HR..................................................... 169  83  49  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100186 -               0735....BP HR..................................................... 188  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100187 -               0740....BP HR..................................................... 186  88  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100188 -               0745....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100189 -               0830....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100190 -               0830....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
100191 -               0830... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100192 -               0830....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100193 -               0830....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100194 -               0830....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100195 -               0945....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100196 -               0945... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100197 -               0945....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
100198 -               0800...
100199 -  ..
100200 -               0950....miles...........  20.0  20.0  325   325 minutes  temp  74 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100201 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100202 -               1201....mile 07 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100203 -               1201....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100204 -               1201... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100205 -               1201... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100206 -               1201....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
100207 -               1201... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100208 -               1201... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100209 -               0000....................................................
100210 -  ..
100211 -               1520....mile 16 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100212 -               1520....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100213 -               1520... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100214 -               1520... CoQ10 100 mg Ubiquinol took 1 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100215 -               1520....Turmeric Curcumin 2250 mg took 1 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
100216 -               1520... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100217 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100218 -               1724... Hike ends mile 20... ref SDS 0 CKTJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100219 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100220 -               1735....weight.................................... 183  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100221 -               1740....BP HR..................................................... 125  77 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100222 -               1745....BP HR..................................................... 111  69  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100223 -               1750....BP HR..................................................... 113  69  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100224 -               0000...
100225 -  ..
100226 -               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                                                                                                                                                                                                                                                                                  
100227 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100228 -               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                                                                                                                                                                                                                                                                                                                                                                                   
100229 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100230 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100231 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100232 -               2100... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100233 -               2130... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100234 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100235 -               2200... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100236 -               2230... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100239 -  ..
100240 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100241 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100243 -  ..
100244 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100245 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100246 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100247 - feet are elevated in reclining chair.  Restless legs has not occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100248 - for awhile, maybe because hiking declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100250 -  ..
100251 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100252 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100254 -  ..
100255 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100256 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100258 -  ..
100259 - Reflux slept in bed 100%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100260 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100264 -  ..
100265 - Summary... swallowing nutrition, hydration and meds improved but still difficult after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100266 - dilation on 250821 - bloating PL 5 disappointing.  Lower temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100267 - no hiking rash quads above knees, and high energy.  Still good results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100268 - wearing Hoka Clifton 11 shoes for 6th hike, except blisters top right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100269 - foot #3, 4, 5.  Changing socks mile 07, helped reduce feet pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100270 - Polar HR report concerning showing erratic changes possible ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100271 - instability?  Planned doing Crystal Ranch Road 8-mile loop in hills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100272 - but "chickened out" at mile 10.  Opted for going over summit to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100273 - Grove 1st time in many months, maybe this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100276 -         ..
100277 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100278 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100279 -        Stomach pain bloating - unstable ANS.........   4         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
100280 -        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                                                                                                                                                                                                                                                                                                                                                                                         
100281 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100282 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100283 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100284 -        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                                                                                                                                                                                                                                                                                                                           
100285 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100286 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100287 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100288 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100289 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
100290 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100291 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
100292 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100293 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
100294 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100295 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100296 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100297 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100298 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
100299 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100300 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100301 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100302 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100303 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100304 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100305 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100306 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100307 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100308 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100309 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100310 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100311 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100312 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100313 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100314 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100315 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100316 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100317 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
100318 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100319 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100320 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
100321 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
100322 -        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                                                                                                                                                                                                                                                                                                                           
100323 -        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                                                                                                                                                                                                                                                                                                                                                                                    
100324 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100325 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
100326 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100327 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100328 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100329 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
100330 -        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                                                                                                                                                                                                                                                                                                                                           
100331 -        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                                                                                                                                                                                                                                                                                                                                           
100332 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100333 -        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                                                                                                                                                                                                                                                                                                                                                                                      
100334 -        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                                                                                                                                                                                                                                                                                                                                                                                        
100335 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
100336 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
100337 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100338 -        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                                                                                                                                                                                                                                                                                                                                                              
100339 -        Callus little toe #5 left foot...PRP 210705..   1         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100340 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
100341 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100342 -        Blister top foot at toe line right foot......   6         40  toes #3, 4 5 suffered pain wearing new Hoka Clifton #11 and Wrightsocks dual-ply and later Smart Wool socks, PL 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                        
100343 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
100344 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100345 -        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                                                                                                                                                                                                                                                                                          
100346 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
100347 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100348 -        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                                                                                                                                                                                                                                                                                                                                                                               
100349 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100350 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100351 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100352 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100353 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100354 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100355 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100356 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
100357 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100358 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100362 -  ..
100363 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100364 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100365 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100366 - metatarsalgia PL 2 good result, pain top both feet #3s, 4s, 5s - tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100367 - toe caps both feet #5s, added caps right foot #4 and 5.  Placing caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100368 - on #4s both feet was nearly impossible - they would not slide into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100369 - place, too small diameter.  During hike switched from Wrightsocks to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100370 - Smart Wool socks at mile 7.  This resolved major feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100372 -  ..
100373 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100374 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100375 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100376 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100378 -  ..
100379 - Callus Injuries - peeled large sections of callus on left foot #1 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100380 - and bottom of toe, completed on 260725, per above. ref SDS 0 TI2H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100381 - Doctor Tang and his assistant, John, in VA Podiatry maintained wounds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100382 - from these feet callus removals on 260730 0900. ref SDS C9 5A4I  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100383 - some pressure left foot #1 and #5 last 5 miles - seems to be growing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100384 - again, disappointing.  Wore toe caps both feet #5s and left foot #1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100385 - purchased on 260823 1100. ref SDS D4 CF5I  Need caps right foot #34&5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100387 -  ..
100388 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100389 - dual-ply Wrightsocks socks, and switched to Smart Wool socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100390 - 7, to reduce moisture buildup that contributes to calluses and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100391 - blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100395 -  ..
100396 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100397 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100398 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100399 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100400 - 1 Naproxen 500 mg for pain management.  No metatarsalgia pain in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100401 - starting hike today, and both feet #1 and #5 calluses PL 0 - were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100402 - shaved down by Doctor Tang in VAMC Podiatry on 260730 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100403 - ref SDS C9 5H6F; left foot #1 #5 calluses growing again, possibly more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100404 - slowly - wore toe caps today, purchased on 260823 1100. ref SDS D4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100405 - CF5I  Toe tubes took long time to position, and then did not work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100406 - well.  Took 4 Magnesium Complex 300 mg pills for cellular energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100407 - absorbing lactic acid, and reducing inflammation, all to enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100408 - that increases HDL and EPCs, which together regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100409 - vessel - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100410 - capsules for energy - CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100411 - supports an electron transport chain (ETC) giving human cells energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100412 - and protects heart tissue from harmful free radicals and stress - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100413 - case study on 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100414 - 2250 mg pills to resolve inflammation, essential for HDL to rise - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100415 - again case study on 200101 0701. ref SDS 21 NKSY  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100416 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100417 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100418 - easier when swallowed combined with food chewed to a slurry combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100419 - with carbonated softdrink.  About 20 minutes later, after dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100420 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100421 - ref SDS 0 7USW  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100422 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100423 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100424 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100425 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100426 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100427 - injuries, e.g., calluses.  Initially, hiked 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100428 - block to start hike, which identifies bloating and feet wound issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100429 - that can be treated before problems arise miles from home.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100430 - Cuneo .25 mile and turned left, onto Treat - was hiking well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100431 - immediately, due in part to new Hoka Clifton 11 shoes with good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100432 - rebound energy.  Steady hiking caused HDL 65 on 260302, but pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100433 - lowered to HDL 51 on 260727; daily hiking for next 10 days, elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100434 - lipids back to HDL 55 on 260806 0901. ref SDS D0 UE6H  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100435 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100436 - sustained, despite disparate hiking last few months, and have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100437 - hiking Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100438 - to Cliff House and on Point Lobos returning to hospital, per above on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100439 - 260727. ref SDS 0 9SAH  Started hike in morning OA 0950, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100440 - temperature at 70, and reached 74.  East wind 15 mph and mostly 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100441 - mph.  Continued East on Treat .5 miles.  Traffic light Sunday morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100442 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100443 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100444 - traffic.  Maintained normal pace 15 minute miles.  Hiked across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100445 - Newhall Community park and back today.  Continued uphill 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100446 - end of Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100447 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100448 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100449 - complex paralell to Clayton Road.  Stopped at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100450 - banana with potassium that complements meds for energy, and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100451 - swallowing meds to slip through LESV, after EGD dilation on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100452 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100453 - sidewalk .5 miles.  Did not stop at Mountain Mike's Pizza restaurant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100454 - to take meds because there was no energy deficit at this point caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100455 - by dysfunctional ANS, occurred previously, e.g., on 250418 in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100456 - study on 250101 0704. ref SDS 71 OFS1  Turned right going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100457 - Ygnacio Valley Road still using concrete sidewalk .5 miles that cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100458 - feet and knee injuries.  Hoka Clifton shoe cushioning moderates these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100459 - injuries.  Continued past Park Highlands Road at traffic stoplight and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100460 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100461 - risk heavy traffic.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100462 - on wider shoulder past stoplight at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100463 - .25 miles to Chevron gas station and store.  At mile 7, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100464 - Chevron gas station store mile 07, time 1201, temp 72 and wind 13 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100465 - EKG looks uniform with no artifact, Kardia reported HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100466 - Tachycardia, - see below. ref SDS 0 PHU2  While at Chevron called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100467 - VAMCSF main line.  Telephone operator said he would ask Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100468 - about letter to him on 260830 1036, requesting overbook this week.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100469 - Bloating PL 5, energy deficit PL 0, both feet metatarsalgia PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100470 - Left foot #1 PL 2 and #5 PL 3.  Right foot #5 PL 2; top of #3, #4, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100471 - PL 6 - very difficult.  Switched socks from Wrightsocks dual-ply, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100472 - Smartwool.  Took 1 Naproxen 500 mg total today 2, for pain.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100473 - Magnesium complex 300 mg pills - total today 8; and, took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100474 - pills - total today 4 - which together increase energy for hiking that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100475 - increases HDL and telomeres. per above.  Took 2 Turmeric Curcumin 2250                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100476 - mg - total today 4, that reduce inflammation from injuries, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100477 - enables HDL to rise.  Less difficulty swallowing meds with bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100478 - banana and sips of softdrink, than previously reported on 260806, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100479 - after EGD dilation on 260821 0830. ref SDS D3 433O  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100480 - purchased from Chev store for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100481 - banana purchased at Lucky store enables swallowing medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100482 - combined with bites of banana to slip through LESV now expanded from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100483 - 15 to 19.5 mm on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100484 - and energy to finish hike.  Took Nuun electrolyte pill, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100485 - ref SDS 0 5KRT  Continued hike heading East on Ygnacio again.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100486 - about .5 mile turned around at Michigan Boulevard and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100487 - Chevron.  At mile 08, turned left onto Pine Hollow - hiked East .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100488 - miles, turned around and hiked back.  Turned left heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100489 - Campus Drive.  Continued 1 mile West uphill 3% grade against wind 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100490 - mph.  The road bends North.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100491 - Hiked West on flat grade .5 miles.  At mile 10, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100492 - Ranch Road uphill 3% grade .5 miles against wind 12 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100493 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100494 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100495 - grade to summit at end of concrete barriar mile 11.  With break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100496 - afternoon commute traffic crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100497 - Road.  Continued 2 miles downhill 3% grade.  Crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100498 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100499 - mile 13, hiked 3 1-mile loops around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100500 - complex.  Stopped at Mod Pizza mile 16, time 1520, temp 74 and wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100501 - mph; EKG mostly uniform with some artifact, Kardia reported HR 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100502 - Tachycardia - see below. ref SDS 0 7THX  Bloated PL 3, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100503 - PL 0.  Both feet metatarsalgia PL 1, burning sensation PL 0, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100504 - #1 PL 1, #5 PL 1, right foot #5 PL 1, top #345 PL 0 with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100505 - socks.  Took 1 Naproxen total today 3, took 2 magnesium 300 mg total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100506 - today 10.  Took 1 CoQ10 100 mg totoal today 5, Took 1 Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100507 - Curcumin 2250 mg totoal today 5.  Sips softdrink for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100508 - swallowing meds and nutrition - banana.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100509 - liquid, per above. ref SDS 0 ZM3K  Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100510 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100511 - .25 miles, turned right onto Shadelands hiking .25 miles, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100512 - left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100513 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100514 - sidewalk.  At San Miguel continued .75 miles on Treat asphalt pavement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100515 - uphill 5% grade temp 74.  Handled this well.  At summit, mile 19,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100516 - hiked another mile to Cuneo, then home.  Ended hike mile 20 time 1640                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100517 - temp 74, wind 15.  Bloated PL 4, energy deficit PL 1, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100518 - metatarsalgia PL 2, burning sensation PL 0, left foot #1 PL 0, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100519 - 0, right foot #5 PL 0, top #345 PL 6.  EKG looks mostly uniform, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100520 - some artifact, Kardia reported HR 113 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100521 - ref SDS 0 CKTJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100531 -  ..
100532 - Kardia recorded HR 045 at 0747, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100533 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100534 - likely no AFL after hiking  6 miles temp 70, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100535 - IRPZ, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100536 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100537 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100538 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100541 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100542 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260901-ecg-074738_mile_00_045_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100547 -  ..
100548 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100549 - California, lost connection had to restart mile 23 at college with max                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100550 - temperature 79, - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100551 - ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100552 - ..
100553 -                                                                                                                                                                                                                                                                                                              x
100554 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100555 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100556 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100557 -       Date          260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 25042  
100558 -       Miles            20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0  
100559 -       HR AVG          116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no  
100560 -  **     MAX           147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report report report report report report  141   report repo  
100561 -         Min            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58                
100562 -       El Climb Ft     540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489                
100563 -       Temp Max         74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65                
100564 -       Wind Max         15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08                
100565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100567 -              https://flow.polar.com/training/analysis/8412001051                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100570 -               ..
100572 -   
100573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100577 -  ..
100578 - EKG at mile 07 time 1201, HR 107 temp 72, wind 13; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100579 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100580 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100583 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100584 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260901-ecg-120156_mile_07_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100588 -  ..
100589 - EKG at mile 16 time 1520, HR 112 temp 74, wind 15; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100590 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100591 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100594 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100595 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260901-ecg-152017_mile_16_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100600 -  ..
100601 - End hike EKG at mile 20, time 1640 HR 113 temp 74, wind 15 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100602 - EKG reported Tachycardia... looks like sinus mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100603 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100606 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100607 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260901-ecg-164016_mile_20_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100612 -  ..
100613 - Post hike HR profile beginning 1937, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100614 - hiking 20 miles with temperature 74, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100615 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100616 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100617 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100618 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100621 -        ..
100622 -       Date      260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509  250508    
100623 -       Time       1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027    2106     
100624 -       Hours        15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11      10     
100625 -       HR AVG       59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71      69     
100626 -       HR MAX      109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     134     
100627 -       HR Min       38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43      43     
100628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100631 -              https://flow.polar.com/training/analysis/8412543360                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100633 -  ..
100634 - HRV seems  0% 0 and  30% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100637 -   
100638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100641 -  ..
100642 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100643 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100644 - Dinner - steak macaroni cheese hamburger asparagus broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100646 -  ..
100647 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100686 -         ..
100687 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100688 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100689 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100690 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100691 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100692 -  132.  260902 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100693 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100694 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
100695 -               0730....BP HR..................................................... 173  75  45  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100696 -               0735....BP HR..................................................... 160  72  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100697 -               0740....BP HR..................................................... 161  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100698 -               0745....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100699 -               0000...
100700 -  ..
100701 -               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                                                                                                                                                                                                                                                                                  
100702 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100703 -               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                                                                                                                                                                                                                                                                                                                                                                                   
100704 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100705 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100706 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100707 -               2100... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100708 -               2130... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100709 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100710 -               2200... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100711 -               2230... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100714 -  ..
100715 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100716 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100718 -  ..
100719 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100720 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100721 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100722 - feet are elevated in reclining chair.  Restless legs has not occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100723 - for awhile, maybe because hiking declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100725 -  ..
100726 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100727 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100729 -  ..
100730 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100731 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100733 -  ..
100734 - Reflux slept in bed 100%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100735 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100740 -  ..
100741 - Kardia recorded HR 047 at 1121, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100742 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100743 - likely no AFL after hiking 20 miles temp 74, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100744 - 7USW, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100745 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100746 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100747 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100750 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100751 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260902-ecg-112125_mile_00_047_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100756 -  ..
100757 - Post hike HR profile beginning 1954, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100758 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100759 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100760 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100761 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100762 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100765 -        ..
100766 -       Date      260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510  250509    
100767 -       Time       1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154    2027     
100768 -       Hours         9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9      11     
100769 -       HR AVG       59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71      71     
100770 -       HR MAX       89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     122     
100771 -       HR Min       37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43      43     
100772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100775 -              https://flow.polar.com/training/analysis/8413010375                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100777 -  ..
100778 - HRV seems  0% 0 and  60% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100781 -   
100782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100785 -  ..
100786 - Breakfast - eggs roast beef onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100787 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100788 - Dinner - steak potato asparagus onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100790 -  ..
100791 - Vomiting: 0% - bloating PL 2  seems better this morning, pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100831 -         ..
100832 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100833 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100834 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100835 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100836 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100837 -  132.  260903 0520............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100838 -               0520....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100839 -               0520....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
100840 -               0530....BP HR..................................................... 175  64  48  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100841 -               0535....BP HR..................................................... 168  80  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100842 -               0540....BP HR..................................................... 161  74  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100843 -               0545....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100844 -               0705....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100845 -               0705....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
100846 -               0705... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100847 -               0705....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100848 -               0705....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100849 -               0705....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100850 -               0735....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100851 -               0735... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100852 -               0735....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
100853 -               0800...
100854 -  ..
100855 -               0749....miles...........  17.0  37.0  278   603 minutes  temp  74 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100856 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100857 -               1123....mile 12 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100858 -               1123....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100859 -               1123... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100860 -               1123... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100861 -               1123....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
100862 -               1123... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100863 -               1123... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100864 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100865 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100866 -               1724... Hike ends mile 20... ref SDS 0 CKTJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100867 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100868 -               1735....weight.................................... 183  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100869 -               1740....BP HR..................................................... 125  77 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100870 -               1745....BP HR..................................................... 111  69  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100871 -               1750....BP HR..................................................... 113  69  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100872 -               0000...
100873 -  ..
100874 -               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                                                                                                                                                                                                                                                                                  
100875 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100876 -               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                                                                                                                                                                                                                                                                                                                                                                                   
100877 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100878 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100879 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100880 -               2100... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100881 -               2130... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100882 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100883 -               2200... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100884 -               2230... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100887 -  ..
100888 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100889 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100891 -  ..
100892 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100893 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100894 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100895 - feet are elevated in reclining chair.  Restless legs has not occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100896 - for awhile, maybe because hiking declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100898 -  ..
100899 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100900 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100902 -  ..
100903 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100904 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100906 -  ..
100907 - Reflux slept in bed 100%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100908 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100912 -  ..
100913 - Summary... swallowing nutrition, hydration and meds improved but still difficult after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100914 - dilation on 250821 - bloating PL 3 maybe improved but still difficult.  Lower temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100915 - aided hiking; planned hike 8-mile loop Crystal Ranch Road train for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100916 - Half Dome - only did 1 mile, will try again tomrrow.  Did upper body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100917 - strength training on exertise equip hiking loope around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100918 - college.  Still good results wearing Hoka Clifton 11 shoes for 7th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100919 - hike, except blisters top right foot #345.  Wore only Smart wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100920 - socks, and did not change socks mile 12.  Will try this tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100923 -         ..
100924 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100925 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100926 -        Stomach pain bloating unstable ANS...........   3         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
100927 -        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                                                                                                                                                                                                                                                                                                                                                                                         
100928 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100929 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100930 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100931 -        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                                                                                                                                                                                                                                                                                                                           
100932 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100933 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100934 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100935 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100936 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
100937 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100938 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
100939 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100940 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
100941 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100942 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100943 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100944 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100945 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
100946 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100947 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100948 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100949 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100950 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100951 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100952 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100953 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100954 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100955 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100956 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100957 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100958 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100959 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100960 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100961 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100962 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100963 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100964 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
100965 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100966 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100967 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
100968 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
100969 -        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                                                                                                                                                                                                                                                                                                                           
100970 -        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                                                                                                                                                                                                                                                                                                                                                                                    
100971 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100972 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
100973 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100974 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100975 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100976 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
100977 -        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                                                                                                                                                                                                                                                                                                                                           
100978 -        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                                                                                                                                                                                                                                                                                                                                           
100979 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100980 -        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                                                                                                                                                                                                                                                                                                                                                                                      
100981 -        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                                                                                                                                                                                                                                                                                                                                                                                        
100982 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
100983 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
100984 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100985 -        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                                                                                                                                                                                                                                                                                                                                                              
100986 -        Callus little toe #5 left foot...PRP 210705..   1         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100987 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
100988 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100989 -        Blister top foot at toe line right foot......   6         30  toes #3, 4 5 suffered pain wearing new Hoka Clifton #11 and Wrightsocks dual-ply and later Smart Wool socks, PL 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                        
100990 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
100991 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100992 -        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                                                                                                                                                                                                                                                                                          
100993 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
100994 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100995 -        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                                                                                                                                                                                                                                                                                                                                                                               
100996 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100997 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100998 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100999 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101000 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101001 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101002 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101003 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
101004 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101005 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101009 -  ..
101010 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101011 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101012 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101013 - PL 2.  Switched today using Zentoe caps left foot #1, and both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101014 - Zento caps #45.  This worked better than tube caps on Tuesday.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101015 - of hike still right foot #45 PL 7, so need solution.  Could be did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101016 - not switch socka at mile 12.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101018 -  ..
101019 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101020 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101021 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101022 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101024 -  ..
101025 - Callus Injuries - large sections callus close to peeling off again on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101026 - left foot #1 edge and bottom of toe, previously completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101027 - per above. ref SDS 0 TI2H  Doctor Tang and his assistant, John, in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101028 - Podiatry maintained wounds from these feet callus removals on 260730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101029 - 0900, ref SDS C9 5A4I; this one large callus left foot #1 continues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101030 - to grow back, unlike right foot after peeling off, has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101032 -  ..
101033 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101034 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101035 - Planned to switch to 2 pair dual ply Wrightsocks at mile 12, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101036 - didn't.  Feet last 3 miles PL 5, so will try switching socks OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101037 - halfway tomorrow.  Can switch to Dual-ply Wrightsocks, or another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101038 - pair of Smart Wool socks???                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101043 -  ..
101044 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101045 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101046 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101047 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101048 - 1 Naproxen 500 mg for pain management.  No metatarsalgia pain in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101049 - starting hike today, and both feet #1 and #5 calluses PL 0 - were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101050 - shaved down by Doctor Tang in VAMC Podiatry on 260730 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101051 - ref SDS C9 5H6F; left foot #1 #5 calluses growing again, possibly more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101052 - slowly - wore toe caps today, purchased on 260823 1100. ref SDS D4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101053 - CF5I, and positioned per above. ref SDS 0 FISC  Took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101054 - Complex 300 mg pills for cellular energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101055 - reducing inflammation, all to enable hiking that increases HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101056 - EPCs, which together regress plaque in blood vessel - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101057 - 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy - CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101058 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101059 - chain (ETC) giving human cells energy, and protects heart tissue from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101060 - harmful free radicals and stress - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101061 - ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills to resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101062 - inflammation, essential for HDL to rise - see again case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101063 - 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1 at a time)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101064 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101065 - and margarine - pills slip through LESV easier when swallowed combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101066 - with food chewed to a slurry combined with carbonated softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101067 - About 20 minutes later, after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101068 - Curcumin and Ubiquinol CoQ10, all per above. ref SDS 0 9LCI  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101069 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101070 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101071 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101072 - rate) see case study on 200101 0701. ref SDS 21 O33H  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101073 - backpack to carry stuff - good to build conditioning for Half Dome -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101074 - because extra weight increases pressure that causes feet injuries,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101075 - e.g., calluses.  Initially, hiked 1-mile loop around the block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101076 - start hike, which identifies bloating and feet wound issues that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101077 - be treated before problems arise miles from home.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101078 - mile and turned left, onto Treat - was hiking well immediately, due in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101079 - part to new Hoka Clifton 11 shoes with good rebound energy.  Steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101080 - hiking caused HDL 65 on 260302, but pausing lowered to HDL 51 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101081 - 260727; daily hiking for next 10 days, elevated lipids back to HDL 55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101082 - on 260806 0901. ref SDS D0 UE6H  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101083 - with no dyspnea, indicating conditioning has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101084 - disparate hiking last few months, and have not been hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101085 - Ranch Road, resulting in dyspnea hiking 1 mile uphill to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101086 - and on Point Lobos returning to hospital, per above on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101087 - ref SDS 0 9SAH  Started hike in morning OA 0749, with temperature at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101088 - 60, and reached 74.  East wind 15 mph and mostly 10 mph.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101089 - East on Treat .5 miles.  Traffic light Sunday morning.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101090 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101091 - mostly flat grade, some places 3% uphill, and very light traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101092 - Maintained normal pace 15 minute miles.  Hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101093 - Community park and back today.  Continued uphill 4% grade to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101094 - Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101095 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101096 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101097 - complex paralell to Clayton Road.  Stopped at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101098 - banana with potassium that complements meds for energy, and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101099 - swallowing meds to slip through LESV, after EGD dilation on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101100 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101101 - sidewalk .5 miles.  Did not stop at Mountain Mike's Pizza restaurant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101102 - to take meds because there was no energy deficit at this point caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101103 - by dysfunctional ANS, occurred previously, e.g., on 250418 in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101104 - study on 250101 0704. ref SDS 71 OFS1  Turned right going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101105 - Ygnacio Valley Road still using concrete sidewalk .5 miles that cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101106 - feet and knee injuries.  Hoka Clifton shoe cushioning moderates these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101107 - injuries.  Continued past Park Highlands Road at traffic stoplight and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101108 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101109 - risk heavy traffic.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101110 - on wider shoulder past stoplight at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101111 - .25 miles to Chevron gas station and store.  At mile 7, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101112 - heading East on Pine Hollow.  About .25 mile decided not to do 5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101113 - loop to end of Pine Hollow and back, because would hike 8-mile Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101114 - Ranch Road loop 5% - 10% grade training for Half Dome.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101115 - and hiked back; turned left heading West on Campus Drive.  Continued 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101116 - mile uphill 4% grade against wind 15 mph.  The road bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101117 - Ygnacio turned around and hiked back uphill on Campus Drive 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101118 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101119 - Campus.  Hiked 4 1-mile loops around main buildings stopping in back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101120 - each loop using outdoor training equipment to do sets of 20 partial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101121 - pullups and pushups.  On 5th loop stopped at cafeteria mile 12 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101122 - 1123 temp 73 and wind 09 mph; EKG looks uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101123 - Kardia reported HR 112 BPM Tachycardia, - see below. ref SDS 0 JV7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101124 - Bloating PL 2, both feet metatarsalgia PL 3.  Left foot #1 PL 0 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101125 - PL 2, right foot #5 PL 4, top #345 PL 3.  Took 1 Naproxen 500 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101126 - pain, total today 2.  Took 4 magnesium 300 mg pills totoal today 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101127 - Took 2 CoQ10 200 mg pills total today 4.  Took 2 Turmeric Curcumin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101128 - lower inflammation, total today 4.  Sips softdrink purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101129 - College vending machine for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101130 - banana purchased at Lucky store enables swallowing medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101131 - combined with bites of banana to slip through LESV now expanded from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101132 - 15 to 19.5 mm on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101133 - and energy to finish hike.  Took Nuun electrolyte pill, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101134 - ref SDS 0 5KRT, ref SDS 0 VWBF  Left campus heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101135 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101136 - flat grade .5 miles.  Turned left onto Crystal Ranch Road heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101137 - South uphill 5% grade.  Planned to hiked 8-mile loop.  About .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101138 - uphill did not feel good - feet hurting.  Turned around headed back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101139 - Turned left onto Ygnacio Valley Road going West uphill 3% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101140 - miles against wind 15 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101141 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101142 - camber.  Continued West .5 mile to summit - mile 15 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101143 - traffic barrier.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101144 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101145 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101146 - against oncoming commute traffic.  Pace fast despite PL 5 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101147 - #345.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101148 - then home.  Ended hike mile 17 time 1329 temp 74, wind 12, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101149 - 3, feet metatarsalgia PL 2, left foot #1 edge PL 0, #5 edge PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101150 - right foot #1 fracture PL 0, #5 PL 2, top #345 PL 7, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101151 - PL 2, shin splints PL 0, left knee PL 0, right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101152 - shoulder PL 0.  EKG sinus with few beats severe artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101153 - reported HR 106 Tachycardia looks mostly uniform - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101154 - ref SDS 0 BL6D                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101165 -  ..
101166 - Kardia recorded HR 044 at 0626, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101167 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101168 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101169 - 6SUL, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101170 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101171 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101172 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101175 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101176 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260903-ecg-062638_mile_00_044_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101181 -  ..
101182 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101183 - California, hike 17 miles with max temperature 74, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101184 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101185 - ..
101186 -                                                                                                                                                                                                                                                                                                              x
101187 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101188 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101189 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101190 -       Date          260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 25042  
101191 -       Miles            17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22  
101192 -       HR AVG          112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119  
101193 -  **     MAX           145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report report report report report report  141  
101194 -         Min            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58  
101195 -       El Climb Ft     610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489  
101196 -       Temp Max         74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65  
101197 -       Wind Max         15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08  
101198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101200 -              https://flow.polar.com/training/analysis/8413385331                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101203 -               ..
101205 -   
101206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101210 -  ..
101211 - EKG at mile 12 time 1123, HR 112 BPM, temp 73, wind 09; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101212 - reported Tachycardia... heart rate looks uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101213 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101216 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101217 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260903-ecg-112334_mile_12_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101221 -  ..
101222 - End hike EKG at mile 17, time 1329 HR 106 temp 74, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101223 - EKG reported Tachycardia... looks like sinus mostly uniform with few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101224 - beats severe artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101225 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101228 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101229 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260903-ecg-132913_mile_17_106_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101234 -  ..
101235 - Post hike HR profile beginning 2050, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101236 - hiking 17 miles with temperature 75, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101237 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101238 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101239 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101240 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101243 -        ..
101244 -       Date      260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511  250510    
101245 -       Time       2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152    2154     
101246 -       Hours        10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10       9     
101247 -       HR AVG       57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68      71     
101248 -       HR MAX      112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     105     
101249 -       HR Min       35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33      43     
101250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101253 -              https://flow.polar.com/training/analysis/8413788804                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101255 -  ..
101256 - HRV seems 30% 0 and  30% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101259 -   
101260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101263 -  ..
101264 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101265 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101266 - Dinner - steak potato asparagus onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101268 -  ..
101269 - Vomiting: 0% - bloating PL 2  seems better this morning, pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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101304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101308 -         ..
101309 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101310 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101311 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101312 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101313 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101314 -  132.  260904 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101315 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101316 -               0710....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
101317 -               0720....BP HR..................................................... 175  81  58  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101318 -               0725....BP HR..................................................... 168  90  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101319 -               0730....BP HR..................................................... 183  78  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101320 -               0735....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101321 -               0925....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101322 -               0925....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
101323 -               0925... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101324 -               0925....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101325 -               0925....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101326 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101327 -               0000... Took meds nutrition for hike, but did not go out.
101328 -  ..
101329 -               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                                                                                                                                                                                                                                                                                  
101330 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101331 -               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                                                                                                                                                                                                                                                                                                                                                                                   
101332 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101333 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101334 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101335 -               2100... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101336 -               2130... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101337 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101338 -               2200... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101339 -               2230... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101342 -  ..
101343 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101344 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101346 -  ..
101347 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101348 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101349 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101350 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101351 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101352 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101353 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101355 -  ..
101356 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101357 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101359 -  ..
101360 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101361 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101363 -  ..
101364 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101365 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101369 -  ..
101370 - Summary... swallowing nutrition, hydration and meds improved but still difficult after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101371 - dilation on 250821 - bloating PL 3 maybe improved but still difficult.  Lower temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101372 - aided hiking; planned hike 8-mile loop Crystal Ranch Road train for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101373 - Half Dome - only did 1 mile, will try again tomrrow.  Did upper body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101374 - strength training on exertise equip hiking loope around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101375 - college.  Still good results wearing Hoka Clifton 11 shoes for 7th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101376 - hike, except blisters top right foot #345.  Wore only Smart wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101377 - socks, and did not change socks mile 12.  Will try this tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101380 -         ..
101381 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101382 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101383 -        Stomach pain bloating unstable ANS...........   3         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
101384 -        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                                                                                                                                                                                                                                                                                                                                                                                         
101385 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101386 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101387 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101388 -        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                                                                                                                                                                                                                                                                                                                           
101389 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101390 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101391 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101392 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101393 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
101394 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101395 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
101396 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101397 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
101398 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101399 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101400 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101401 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101402 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
101403 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101404 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101405 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101406 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101407 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101408 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101409 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101410 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101411 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101412 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101413 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101414 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101415 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101416 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101417 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101418 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101419 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101420 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101421 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
101422 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101423 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101424 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
101425 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
101426 -        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                                                                                                                                                                                                                                                                                                                           
101427 -        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                                                                                                                                                                                                                                                                                                                                                                                    
101428 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101429 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
101430 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101431 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101432 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101433 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
101434 -        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                                                                                                                                                                                                                                                                                                                                           
101435 -        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                                                                                                                                                                                                                                                                                                                                           
101436 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101437 -        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                                                                                                                                                                                                                                                                                                                                                                                      
101438 -        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                                                                                                                                                                                                                                                                                                                                                                                        
101439 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
101440 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
101441 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101442 -        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                                                                                                                                                                                                                                                                                                                                                              
101443 -        Callus little toe #5 left foot...PRP 210705..   1         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101444 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
101445 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101446 -        Blister top foot at toe line right foot......   6         30  toes #3, 4 5 suffered pain wearing new Hoka Clifton #11 and Wrightsocks dual-ply and later Smart Wool socks, PL 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                        
101447 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
101448 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101449 -        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                                                                                                                                                                                                                                                                                          
101450 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
101451 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101452 -        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                                                                                                                                                                                                                                                                                                                                                                               
101453 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101454 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101455 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101456 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101457 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101458 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101459 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101460 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
101461 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101462 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101466 -  ..
101467 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101468 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101469 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101470 - PL 2.  Switched today using Zentoe caps left foot #1, and both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101471 - Zento caps #45.  This worked better than tube caps on Tuesday.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101472 - of hike still right foot #45 PL 7, so need solution.  Could be did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101473 - not switch socka at mile 12.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101475 -  ..
101476 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101477 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101478 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101479 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101481 -  ..
101482 - Callus Injuries - large sections callus close to peeling off again on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101483 - left foot #1 edge and bottom of toe, previously completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101484 - per above. ref SDS 0 TI2H  Doctor Tang and his assistant, John, in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101485 - Podiatry maintained wounds from these feet callus removals on 260730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101486 - 0900, ref SDS C9 5A4I; this one large callus left foot #1 continues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101487 - to grow back, unlike right foot after peeling off, has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101489 -  ..
101490 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101491 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101492 - Planned to switch to 2 pair dual ply Wrightsocks at mile 12, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101493 - didn't.  Feet last 3 miles PL 5, so will try switching socks OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101494 - halfway tomorrow.  Can switch to Dual-ply Wrightsocks, or another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101495 - pair of Smart Wool socks???                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101500 -  ..
101501 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101502 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101503 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101504 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101505 - 1 Naproxen 500 mg for pain management.  No metatarsalgia pain in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101506 - starting hike today, and both feet #1 and #5 calluses PL 0 - were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101507 - shaved down by Doctor Tang in VAMC Podiatry on 260730 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101508 - ref SDS C9 5H6F; left foot #1 #5 calluses growing again, possibly more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101509 - slowly - wore toe caps today, purchased on 260823 1100. ref SDS D4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101510 - CF5I, and positioned per above. ref SDS 0 FISC  Took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101511 - Complex 300 mg pills for cellular energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101512 - reducing inflammation, all to enable hiking that increases HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101513 - EPCs, which together regress plaque in blood vessel - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101514 - 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy - CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101515 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101516 - chain (ETC) giving human cells energy, and protects heart tissue from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101517 - harmful free radicals and stress - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101518 - ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills to resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101519 - inflammation, essential for HDL to rise - see again case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101520 - 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1 at a time)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101521 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101522 - and margarine - pills slip through LESV easier when swallowed combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101523 - with food chewed to a slurry combined with carbonated softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101524 - About 20 minutes later, after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101525 - Curcumin and Ubiquinol CoQ10, all per above. ref SDS 0 9LCI  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101526 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101527 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101528 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101529 - rate) see case study on 200101 0701. ref SDS 21 O33H  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101530 - backpack to carry stuff - good to build conditioning for Half Dome -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101531 - because extra weight increases pressure that causes feet injuries,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101532 - e.g., calluses.  Initially, hiked 1-mile loop around the block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101533 - start hike, which identifies bloating and feet wound issues that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101534 - be treated before problems arise miles from home.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101535 - mile and turned left, onto Treat - was hiking well immediately, due in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101536 - part to new Hoka Clifton 11 shoes with good rebound energy.  Steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101537 - hiking caused HDL 65 on 260302, but pausing lowered to HDL 51 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101538 - 260727; daily hiking for next 10 days, elevated lipids back to HDL 55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101539 - on 260806 0901. ref SDS D0 UE6H  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101540 - with no dyspnea, indicating conditioning has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101541 - disparate hiking last few months, and have not been hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101542 - Ranch Road, resulting in dyspnea hiking 1 mile uphill to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101543 - and on Point Lobos returning to hospital, per above on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101544 - ref SDS 0 9SAH  Started hike in morning OA 0749, with temperature at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101545 - 60, and reached 74.  East wind 15 mph and mostly 10 mph.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101546 - East on Treat .5 miles.  Traffic light Sunday morning.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101547 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101548 - mostly flat grade, some places 3% uphill, and very light traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101549 - Maintained normal pace 15 minute miles.  Hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101550 - Community park and back today.  Continued uphill 4% grade to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101551 - Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101552 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101553 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101554 - complex paralell to Clayton Road.  Stopped at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101555 - banana with potassium that complements meds for energy, and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101556 - swallowing meds to slip through LESV, after EGD dilation on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101557 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101558 - sidewalk .5 miles.  Did not stop at Mountain Mike's Pizza restaurant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101559 - to take meds because there was no energy deficit at this point caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101560 - by dysfunctional ANS, occurred previously, e.g., on 250418 in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101561 - study on 250101 0704. ref SDS 71 OFS1  Turned right going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101562 - Ygnacio Valley Road still using concrete sidewalk .5 miles that cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101563 - feet and knee injuries.  Hoka Clifton shoe cushioning moderates these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101564 - injuries.  Continued past Park Highlands Road at traffic stoplight and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101565 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101566 - risk heavy traffic.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101567 - on wider shoulder past stoplight at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101568 - .25 miles to Chevron gas station and store.  At mile 7, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101569 - heading East on Pine Hollow.  About .25 mile decided not to do 5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101570 - loop to end of Pine Hollow and back, because would hike 8-mile Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101571 - Ranch Road loop 5% - 10% grade training for Half Dome.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101572 - and hiked back; turned left heading West on Campus Drive.  Continued 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101573 - mile uphill 4% grade against wind 15 mph.  The road bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101574 - Ygnacio turned around and hiked back uphill on Campus Drive 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101575 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101576 - Campus.  Hiked 4 1-mile loops around main buildings stopping in back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101577 - each loop using outdoor training equipment to do sets of 20 partial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101578 - pullups and pushups.  On 5th loop stopped at cafeteria mile 12 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101579 - 1123 temp 73 and wind 09 mph; EKG looks uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101580 - Kardia reported HR 112 BPM Tachycardia, - see below. ref SDS 0 JV7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101581 - Bloating PL 2, both feet metatarsalgia PL 3.  Left foot #1 PL 0 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101582 - PL 2, right foot #5 PL 4, top #345 PL 3.  Took 1 Naproxen 500 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101583 - pain, total today 2.  Took 4 magnesium 300 mg pills totoal today 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101584 - Took 2 CoQ10 200 mg pills total today 4.  Took 2 Turmeric Curcumin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101585 - lower inflammation, total today 4.  Sips softdrink purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101586 - College vending machine for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101587 - banana purchased at Lucky store enables swallowing medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101588 - combined with bites of banana to slip through LESV now expanded from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101589 - 15 to 19.5 mm on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101590 - and energy to finish hike.  Took Nuun electrolyte pill, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101591 - ref SDS 0 5KRT, ref SDS 0 VWBF  Left campus heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101592 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101593 - flat grade .5 miles.  Turned left onto Crystal Ranch Road heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101594 - South uphill 5% grade.  Planned to hiked 8-mile loop.  About .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101595 - uphill did not feel good - feet hurting.  Turned around headed back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101596 - Turned left onto Ygnacio Valley Road going West uphill 3% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101597 - miles against wind 15 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101598 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101599 - camber.  Continued West .5 mile to summit - mile 15 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101600 - traffic barrier.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101601 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101602 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101603 - against oncoming commute traffic.  Pace fast despite PL 5 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101604 - #345.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101605 - then home.  Ended hike mile 17 time 1329 temp 74, wind 12, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101606 - 3, feet metatarsalgia PL 2, left foot #1 edge PL 0, #5 edge PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101607 - right foot #1 fracture PL 0, #5 PL 2, top #345 PL 7, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101608 - PL 2, shin splints PL 0, left knee PL 0, right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101609 - shoulder PL 0.  EKG sinus with few beats severe artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101610 - reported HR 106 Tachycardia looks mostly uniform - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101611 - ref SDS 0 BL6D                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101622 -  ..
101623 - Kardia recorded HR 042 at 0901, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101624 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101625 - likely no AFL after hiking 17 miles temp 74, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101626 - 9LCI, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101627 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101628 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101629 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101632 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101633 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260904-ecg-090101_mile_00_042_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101642 -  ..
101643 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101644 - California, hike 17 miles with max temperature 74, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101645 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101646 - ..
101647 -                                                                                                                                                                                                                                                                                                              x
101648 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101649 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101650 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101651 -       Date          260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 25042  
101652 -       Miles            17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22  
101653 -       HR AVG          112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119  
101654 -  **     MAX           145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report report report report report report  141  
101655 -         Min            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                           58  
101656 -       El Climb Ft     610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                          489  
101657 -       Temp Max         74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                           65  
101658 -       Wind Max         15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                           08  
101659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101661 -              https://flow.polar.com/training/analysis/8413385331                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101664 -               ..
101666 -   
101667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101671 -  ..
101672 - EKG at mile 12 time 1123, HR 112 BPM, temp 73, wind 09; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101673 - reported Tachycardia... heart rate looks uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101674 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101677 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101678 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260903-ecg-112334_mile_12_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101682 -  ..
101683 - End hike EKG at mile 17, time 1329 HR 106 temp 74, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101684 - EKG reported Tachycardia... looks like sinus mostly uniform with few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101685 - beats severe artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101686 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101689 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101690 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260903-ecg-132913_mile_17_106_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101695 -  ..
101696 - Post hike HR profile beginning 2011, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101697 - hiking 00 miles with temperature __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101698 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101699 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101700 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101701 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101704 -        ..
101705 -       Date      260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512  250511    
101706 -       Time       2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135    2152     
101707 -       Hours        12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6      10     
101708 -       HR AVG       63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61      68     
101709 -       HR MAX      132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     157     
101710 -       HR Min       38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42      33     
101711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101714 -              https://flow.polar.com/training/analysis/8414473762                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101716 -  ..
101717 - HRV seems 20% 0 and  30% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101720 -   
101721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101724 -  ..
101725 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101726 - Lunch - sandwich roast beef cheese onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101727 - Dinner - steak potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101729 -  ..
101730 - Vomiting: 0% - bloating PL 2  seems better this morning, more pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101770 -         ..
101771 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101772 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101773 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101774 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101775 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101776 -  132.  260905 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101777 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101778 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
101779 -               0730....BP HR..................................................... 159  73  50  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101780 -               0735....BP HR..................................................... 166  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101781 -               0740....BP HR..................................................... 135  72  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101782 -               0745....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101783 -               1015....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101784 -               1015....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
101785 -               1015... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101786 -               1015....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101787 -               1015....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101788 -               1015....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101789 -               1055....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101790 -               1055... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101791 -               1055....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
101792 -               0000...
101793 -  ..
101794 -               1120....miles...........  20.0  57.0  330   933 minutes  temp  82 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101795 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101796 -               1333....mile 07 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101797 -               1333....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101798 -               1333... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101799 -               1333... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101800 -               1333....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
101801 -               1333... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101802 -               1333... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101803 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101804 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101805 -               1817... Hike ends mile 20... ref SDS 0 8ZCU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101806 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101807 -               1830....weight.................................... 181  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101808 -               1840....BP HR..................................................... 130  78 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101809 -               1845....BP HR..................................................... 120  72  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101810 -               1850....BP HR..................................................... 143  79  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101811 -               0000...
101812 -  ..
101813 -               1900... 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                                                                                                                                                                                                                                                                                  
101814 -               2030............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101815 -               2030............ 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                                                                                                                                                                                                                                                                                                                                                                                   
101816 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101817 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101818 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101819 -               2100... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101820 -               2130... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101821 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101822 -               2200... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101823 -               2230... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101826 -  ..
101827 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101828 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101830 -  ..
101831 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101832 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101833 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101834 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101835 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101836 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101837 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101839 -  ..
101840 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101841 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101843 -  ..
101844 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101845 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101847 -  ..
101848 - Reflux slept in bed 60%, and in recliner chair 40% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101849 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101853 -  ..
101854 - Summary... swallowing nutrition, hydration and meds improved but still difficult after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101855 - dilation on 250821 - bloating PL 3 maybe improved but still difficult.  Higher temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101856 - limited distance; still hiked 8-mile loop Crystal Ranch Road train for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101857 - Half Dome 1st time in 6 months.  Skipped upper body strength training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101858 - on exercise equip - did not hike loops around main buildings college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101859 - Still good results wearing Hoka Clifton 11 shoes, except blisters top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101860 - right foot #345.  Wore only Smart wool socks, and changed socks mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101861 - 7.  Might try modifying Powerstep inserts to lower forefoot below top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101862 - of shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101865 -         ..
101866 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101867 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101868 -        Stomach pain bloating unstable ANS...........   3         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
101869 -        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                                                                                                                                                                                                                                                                                                                                                                                         
101870 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101871 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101872 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101873 -        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                                                                                                                                                                                                                                                                                                                           
101874 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101875 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101876 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101877 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101878 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
101879 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101880 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
101881 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101882 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
101883 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101884 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101885 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101886 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101887 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
101888 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101889 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101890 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101891 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101892 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101893 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101894 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101895 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101896 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101897 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101898 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101899 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101900 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101901 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101902 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101903 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101904 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101905 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101906 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
101907 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101908 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101909 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
101910 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
101911 -        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                                                                                                                                                                                                                                                                                                                           
101912 -        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                                                                                                                                                                                                                                                                                                                                                                                    
101913 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101914 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
101915 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101916 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101917 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101918 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
101919 -        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                                                                                                                                                                                                                                                                                                                                           
101920 -        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                                                                                                                                                                                                                                                                                                                                           
101921 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101922 -        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                                                                                                                                                                                                                                                                                                                                                                                      
101923 -        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                                                                                                                                                                                                                                                                                                                                                                                        
101924 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
101925 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
101926 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101927 -        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                                                                                                                                                                                                                                                                                                                                                              
101928 -        Callus little toe #5 left foot...PRP 210705..   2         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101929 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
101930 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101931 -        Blister top foot at toe line right foot......   6         30  toes #3, 4 5 suffered pain wearing new Hoka Clifton #11 and Wrightsocks dual-ply and later Smart Wool socks, PL 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                        
101932 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
101933 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101934 -        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                                                                                                                                                                                                                                                                                          
101935 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
101936 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101937 -        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                                                                                                                                                                                                                                                                                                                                                                               
101938 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101939 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101940 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101941 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101942 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101943 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101944 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101945 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
101946 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101947 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101951 -  ..
101952 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101953 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101954 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101955 - PL 2.  Used Zentoe caps left foot #1, and both feet Zento caps #45.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101956 - At end of hike still right foot #45 PL 7, despite switching socks at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101957 - mile 7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101959 -  ..
101960 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101961 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101962 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101963 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.  Could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101964 - inserts be pushing feet too high causing friction with inside top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101965 - cover???  The inserts have custom padding bottom forefoot.  This might                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101966 - be cutback to lower pressure from shoe cover onto top of #345???                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101969 -  ..
101970 - Callus Injuries - large sections callus close to peeling off again on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101971 - left foot #1 edge and bottom of toe, previously completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101972 - per above. ref SDS 0 TI2H  Doctor Tang and his assistant, John, in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101973 - Podiatry maintained wounds from these feet callus removals on 260730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101974 - 0900, ref SDS C9 5A4I; this one large callus left foot #1 continues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101975 - to grow back, unlike right foot after peeling off, has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101977 -  ..
101978 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101979 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101980 - Switched Smart wool socks at mile 7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101985 -  ..
101986 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101987 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101988 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101989 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101990 - 1 Naproxen 500 mg for pain management.  No metatarsalgia pain in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101991 - starting hike today, and both feet #1 and #5 calluses PL 0 - were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101992 - shaved down by Doctor Tang in VAMC Podiatry on 260730 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101993 - ref SDS C9 5H6F; left foot #1 #5 calluses growing again, possibly more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101994 - slowly - wore toe caps today, purchased on 260823 1100. ref SDS D4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101995 - CF5I, and positioned per above. ref SDS 0 FISC  Took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101996 - Complex 300 mg pills for cellular energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101997 - reducing inflammation, all to enable hiking that increases HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101998 - EPCs, which together regress plaque in blood vessel - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101999 - 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy - CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102000 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102001 - chain (ETC) giving human cells energy, and protects heart tissue from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102002 - harmful free radicals and stress - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102003 - ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills to resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102004 - inflammation, essential for HDL to rise - see again case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102005 - 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1 at a time)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102006 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102007 - and margarine - pills slip through LESV easier when swallowed combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102008 - with food chewed to a slurry combined with carbonated softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102009 - About 20 minutes later, after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102010 - Curcumin and Ubiquinol CoQ10, all per above. ref SDS 0 PHSA  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102011 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102012 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102013 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102014 - rate) see case study on 200101 0701. ref SDS 21 O33H  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102015 - backpack to carry stuff - good to build conditioning for Half Dome -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102016 - because extra weight increases pressure that causes feet injuries,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102017 - e.g., calluses.  Initially, hiked 1-mile loop around the block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102018 - start hike, which identifies bloating and feet wound issues that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102019 - be treated before problems arise miles from home.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102020 - mile and turned left, onto Treat - was hiking well immediately, due in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102021 - part to new Hoka Clifton 11 shoes with good rebound energy.  Steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102022 - hiking caused HDL 65 on 260302, but pausing lowered to HDL 51 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102023 - 260727; daily hiking for next 10 days, elevated lipids back to HDL 55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102024 - on 260806 0901. ref SDS D0 UE6H  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102025 - with no dyspnea, indicating conditioning has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102026 - disparate hiking last few months, and have not been hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102027 - Ranch Road, resulting in dyspnea hiking 1 mile uphill to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102028 - and on Point Lobos returning to hospital, per above on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102029 - ref SDS 0 9SAH  Started hike in morning OA 1126, with temperature at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102030 - 70, and reached 83.  East wind 15 mph and mostly 10 mph.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102031 - East on Treat .5 miles.  Traffic light Saturday morning.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102032 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102033 - mostly flat grade, some places 3% uphill, and very light traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102034 - Maintained normal pace 15 minute miles.  Hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102035 - Community park and back today.  Continued uphill 4% grade to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102036 - Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102037 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102038 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102039 - complex paralell to Clayton Road.  Stopped at Lucky store to buy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102040 - banana with potassium that complements meds for energy, and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102041 - swallowing meds to slip through LESV, after EGD dilation on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102042 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102043 - sidewalk .5 miles.  Did not stop at Mountain Mike's Pizza restaurant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102044 - to take meds because there was no energy deficit at this point caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102045 - by dysfunctional ANS, occurred previously, e.g., on 250418 in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102046 - study on 250101 0704. ref SDS 71 OFS1  Turned right going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102047 - Ygnacio Valley Road still using concrete sidewalk .5 miles that cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102048 - feet and knee injuries.  Hoka Clifton shoe cushioning moderates these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102049 - injuries.  Continued past Park Highlands Road at traffic stoplight and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102050 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102051 - risk heavy traffic.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102052 - on wider shoulder past stoplight at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102053 - .25 miles stopped at Chevron gas station and store. mile 07 time 1333                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102054 - temp 80 and wind 06 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102055 - reported HR 108 BPM Tachycardia, - see below. ref SDS 0 LO8J  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102056 - PL 4, both feet metatarsalgia PL 3.  Left foot #1 PL 0 and #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102057 - right foot #5 PL 2, top #345 PL 5.  Took 1 Naproxen 500 mg for pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102058 - total today 2.  Took 4 magnesium 300 mg pills totoal today 8.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102059 - CoQ10 200 mg pills total today 4.  Took 2 Turmeric Curcumin to lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102060 - inflammation, total today 4.  Sips softdrink purchased from Chevron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102061 - store for hydration and swallowing nutrition - banana purchased at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102062 - Lucky store enables swallowing medication pills combined with bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102063 - banana to slip through LESV now expanded from 15 to 19.5 mm on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102064 - Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to finish hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102065 - Took Nuun electrolyte pill, all per above. ref SDS 0 BSRX  Changed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102066 - 2nd pair Smart Wool socks, per above. ref SDS 0 IJDP  Hiked back on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102067 - Ygnacio Vallery Road .5 mile while swallowing Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102068 - in order to spit out reflux that occurs taking this medicine.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102069 - Michigan Boulevard turned around and hiked back to Chevron at Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102070 - Hollow.  Turned left heading East on Pine Hollow.  About .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102071 - decided not to do 5-mile loop to end of Pine Hollow and back, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102072 - hiking 8-mile Crystal Ranch Road loop 5% - 10% grade training for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102073 - Dome.  Turned left heading West on Campus Drive.  Continued 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102074 - uphill 4% grade against wind 12 mph.  The road bends North.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102075 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102076 - mile 10, turned left onto Crystal Ranch Road.  First time in many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102077 - months - hiked South 1 mile uphill 5% grade with 12 mph wind.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102078 - this well breathing through nose without dyspnea nor stopping.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102079 - summit continued flat grade .5 miles.  Continued downhill .25 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102080 - grade.  At Rolling Woods Way continued uphill on Crystal Ranch Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102081 - miles 10% grade against wind 09 mph.  Road ends at top of hill.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102082 - back down hill about .25 mile and then back to top.  Stopped mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102083 - time 1616, temp 83, wind 12 mph; EKG looks variable with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102084 - artifact.  Kardia reported HR 111 BPM (...  HR - no wait to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102085 - cellphone connection...) Unclassified - see below. ref SDS 0 VK1Y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102086 - Bloating PL 5, energy deficit PL 3, feet metatarsalgia PL 1.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102087 - foot #1 PL 0 and #5 PL 0, right foot #5 PL 0, top #345 PL 4.  Took no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102088 - meds and NPO.  Continued downhill on Crystal Ranch Road 12% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102089 - miles.  Halfway down seemed mildly wobbly/dizzy.  At bottom of hill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102090 - Turned right onto Rolling Woods Way hiking East .5 miles uphill 10%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102091 - grade against 12 mph wind.  At summit continued downhill 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102092 - Turned left onto Pine Hollow.  Hiked 1 mile and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102093 - Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102094 - mph.  Turned left onto Ygnacio Valley Road heading West flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102095 - mile.  Continued West past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102096 - against wind 15 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102097 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102098 - camber.  Continued West .5 mile to summit - mile 15 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102099 - traffic barrier.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102100 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102101 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102102 - against oncoming commute traffic.  Pace fast despite PL 5 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102103 - top #345.  Turned left onto Treat hiking West .25 miles.  Turned North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102104 - onto Cuneo and hiked .25 mile.  Turned around at Kaski.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102105 - and then home.  Ended hike mile 20 time 1817 temp 76, wind 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102106 - bloating PL 2, energy deficit PL 3, feet metatarsalgia PL 1, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102107 - #1 edge PL 1, #5 edge PL 1, right foot #1 PL 0, #5 PL 0, top #345 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102108 - 6, burning sensation PL 0, shin splints PL 0, left knee PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102109 - knee PL 0, left shoulder PL 0.  EKG sinus with few beats mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102110 - artifact, Kardia reported HR 122 Tachycardia looks mostly uniform -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102111 - see below. ref SDS 0 8ZCU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102122 -  ..
102123 - Kardia recorded HR 045 at 0905, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102124 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102125 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102126 - T5SO, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102127 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102128 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102129 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102132 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102133 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260905-ecg-090517_mile_00_045_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102139 -  ..
102140 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102141 - California, hike 20 miles with max temperature 82, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102142 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102143 - ..
102144 -                                                                                                                                                                                                                                                                                                              x
102145 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102146 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102147 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102148 -       Date          260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 25042  
102149 -       Miles            20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0      0      0      0  
102150 -       HR AVG          113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no     no     no     no  
102151 -  **     MAX           142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report report report report repo  
102152 -         Min            73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                                 
102153 -       El Climb Ft    1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                                 
102154 -       Temp Max         82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                                 
102155 -       Wind Max         15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                                 
102156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102158 -              https://flow.polar.com/training/analysis/8414684531                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102161 -               ..
102163 -   
102164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102168 -  ..
102169 - EKG at mile 07 time 1333, HR 108 BPM, temp 80, wind 06; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102170 - reported Tachycardia... heart rate looks uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102171 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102174 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102175 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260905-ecg-133301_mile_07_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102180 -  ..
102181 - EKG at mile 13 time 1616, HR 111 BPM, temp 83, wind 12; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102182 - reported Unclassified... heart rate looks mostly variable with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102183 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102186 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102187 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260905-ecg-161628_mile_13_111_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102191 -  ..
102192 - End hike EKG at mile 20, time 1817 HR 122 temp 76, wind 14 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102193 - EKG reported Tachycardia... looks like sinus mostly uniform with few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102194 - beats artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102195 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102198 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102199 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260905-ecg-181750_mile_20_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102204 -  ..
102205 - Post hike HR profile beginning 2242, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102206 - hiking 20 miles with temperature 83, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102207 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102208 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102209 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102210 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102213 -        ..
102214 -       Date      260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..  250512    
102215 -       Time       2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201            2135     
102216 -       Hours        10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11               6     
102217 -       HR AVG       60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56              61     
102218 -       HR MAX       99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             135     
102219 -       HR Min       38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36              42     
102220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102223 -              https://flow.polar.com/training/analysis/8415146493                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102225 -  ..
102226 - HRV seems 10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102229 -   
102230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102233 -  ..
102234 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102235 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102236 - Dinner - sandwich roast beef cheese onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102238 -  ..
102239 - Vomiting: 0% - bloating PL 3  seems better this morning, more pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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102260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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102268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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102270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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102277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102281 -         ..
102282 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102283 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102284 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102285 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102286 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102287 -  132.  260906 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102288 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102289 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
102290 -               0730....BP HR..................................................... 159  73  50  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102291 -               0735....BP HR..................................................... 166  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102292 -               0740....BP HR..................................................... 135  72  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102293 -               0745....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102294 -               1005....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102295 -               1005....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
102296 -               1005... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102297 -               1005....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102298 -               1005....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102299 -               1005....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102300 -               1030....Naproxen 500 mg paused took 1 pill cut in half to aid swallowing because PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102301 -               1030... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102302 -               1030....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
102303 -               0000...
102304 -  ..
102305 -               1036....miles...........  21.0  78.0  338  1271 minutes  temp  81 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102306 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102307 -               1252....mile 07 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102308 -               1252....Naproxen 500 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102309 -               1252... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102310 -               1252... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102311 -               1252....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
102312 -               1252... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102313 -               1252... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102314 -               1252... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102315 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102316 -               1817... Hike ends mile 21... ref SDS 0 OU3R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102317 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102318 -               1830....weight.................................... 181  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102319 -               1840....BP HR..................................................... 130  78 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102320 -               1845....BP HR..................................................... 120  72  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102321 -               1850....BP HR..................................................... 143  79  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102322 -               0000...
102323 -  ..
102324 -               1900... 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                                                                                                                                                                                                                                                                                  
102325 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
102326 -               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                                                                                                                                                                                                                                                                                                                                                                                   
102327 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102328 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102329 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102330 -               2100... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102331 -               2130... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102332 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102333 -               2200... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102334 -               2230... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102337 -  ..
102338 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102339 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102341 -  ..
102342 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102343 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102344 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102345 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102346 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102347 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102348 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102350 -  ..
102351 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102352 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102354 -  ..
102355 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102356 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102358 -  ..
102359 - Reflux slept in bed 60%, and in recliner chair 40% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102360 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102364 -  ..
102365 - Summary... swallowing nutrition, hydration and meds improved but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102366 - difficult after EGD dilation on 250821 - bloating PL 3 maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102367 - but still difficult.  Higher temperature limited distance; still hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102368 - 8-mile loop Crystal Ranch Road train for Half Dome 1st time in 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102369 - months.  Skipped upper body strength training on exercise equip - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102370 - not hike loops around main buildings college.  Still good results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102371 - wearing Hoka Clifton 11 shoes, except blisters top right foot #345.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102372 - Wore only Smart wool socks, and changed socks mile 7.  Might try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102373 - modifying Powerstep inserts to lower forefoot below top of shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102376 -         ..
102377 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102378 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102379 -        Stomach pain bloating unstable ANS...........   3         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
102380 -        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                                                                                                                                                                                                                                                                                                                                                                                         
102381 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102382 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102383 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102384 -        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                                                                                                                                                                                                                                                                                                                           
102385 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102386 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102387 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102388 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102389 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
102390 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102391 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
102392 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102393 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
102394 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102395 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102396 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102397 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102398 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
102399 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102400 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102401 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102402 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102403 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102404 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102405 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102406 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102407 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102408 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102409 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102410 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102411 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102412 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102413 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102414 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102415 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102416 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102417 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
102418 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102419 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102420 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
102421 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
102422 -        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                                                                                                                                                                                                                                                                                                                           
102423 -        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                                                                                                                                                                                                                                                                                                                                                                                    
102424 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102425 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
102426 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102427 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102428 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102429 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
102430 -        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                                                                                                                                                                                                                                                                                                                                           
102431 -        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                                                                                                                                                                                                                                                                                                                                           
102432 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102433 -        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                                                                                                                                                                                                                                                                                                                                                                                      
102434 -        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                                                                                                                                                                                                                                                                                                                                                                                        
102435 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
102436 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
102437 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102438 -        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                                                                                                                                                                                                                                                                                                                                                              
102439 -        Callus little toe #5 left foot...PRP 210705..   2         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102440 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
102441 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102442 -        Blister top foot at toe line right foot......   6         30  toes #3, 4 5 suffered pain wearing new Hoka Clifton #11 and Wrightsocks dual-ply and later Smart Wool socks, PL 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                        
102443 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
102444 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102445 -        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                                                                                                                                                                                                                                                                                          
102446 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
102447 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102448 -        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                                                                                                                                                                                                                                                                                                                                                                               
102449 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102450 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102451 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102452 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102453 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102454 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102455 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102456 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
102457 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102458 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102462 -  ..
102463 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102464 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102465 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102466 - PL 2.  Used Zentoe caps left foot #1, and both feet Zento caps #45.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102467 - Modified inserts yielded some reduced pain top #345.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102469 -  ..
102470 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102471 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102472 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102473 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.  Found                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102474 - only right foot has extended padding under forefoot.  Cut this back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102475 - 2" to relieve pressure causing blisters top #345.  After testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102476 - walking around house, still had pressure top #345 - peeled entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102477 - felt pad loose, which removed about 80% of thickness, since glue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102478 - would not release padding from the shoe.  This yielded reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102479 - vertical pressure and repetitive stress pain on #345.  Residual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102480 - pressure pain may need complete removal of remaining felt padding on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102481 - right Powerstep insert.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102484 -  ..
102485 - Callus Injuries - large sections callus close to peeling off again on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102486 - left foot #1 edge and bottom of toe, previously completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102487 - per above. ref SDS 0 TI2H  Doctor Tang and his assistant, John, in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102488 - Podiatry maintained wounds from these feet callus removals on 260730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102489 - 0900, ref SDS C9 5A4I; this one large callus left foot #1 continues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102490 - to grow back, unlike right foot after peeling off, has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102492 -  ..
102493 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102494 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102495 - Switched Smart wool socks at mile 7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102500 -  ..
102501 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102502 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102503 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102504 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102505 - 1 Naproxen 500 mg for pain management.  No metatarsalgia pain in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102506 - starting hike today, and both feet #1 and #5 calluses PL 0 - were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102507 - shaved down by Doctor Tang in VAMC Podiatry on 260730 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102508 - ref SDS C9 5H6F; left foot #1 #5 calluses growing again, possibly more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102509 - slowly - wore toe caps today, purchased on 260823 1100. ref SDS D4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102510 - CF5I, and positioned per above. ref SDS 0 FISC  Took 4 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102511 - Complex 300 mg pills for cellular energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102512 - reducing inflammation, all to enable hiking that increases HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102513 - EPCs, which together regress plaque in blood vessel - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102514 - 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy - CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102515 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102516 - chain (ETC) giving human cells energy, and protects heart tissue from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102517 - harmful free radicals and stress - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102518 - ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills to resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102519 - inflammation, essential for HDL to rise - see again case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102520 - 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1 at a time)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102521 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102522 - and margarine - pills slip through LESV easier when swallowed combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102523 - with food chewed to a slurry combined with carbonated softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102524 - About 20 minutes later, after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102525 - Curcumin and Ubiquinol CoQ10, all per above. ref SDS 0 KHWR  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102526 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102527 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102528 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102529 - rate from dysfunctional ANS following 6th cardiac ablation on 240611)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102530 - see case study on 200101 0701. ref SDS 21 O33H  Did not take backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102531 - to carry stuff - good to build conditioning for Half Dome - because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102532 - extra weight increases pressure that causes feet injuries, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102533 - calluses.  Initially, hiked 1-mile loop around the block to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102534 - hike, which identifies bloating and feet wound issues that can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102535 - treated before problems arise miles from home.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102536 - and turned left, onto Treat - was hiking well immediately, due in part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102537 - to new Hoka Clifton 11 shoes with good rebound energy.  Steady hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102538 - caused HDL 65 on 260302, but pausing lowered to HDL 51 on 260727;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102539 - daily hiking for next 10 days, elevated lipids back to HDL 55 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102540 - 260806 0901. ref SDS D0 UE6H  Breathed through nose entire hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102541 - no dyspnea, indicating conditioning has sustained, despite disparate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102542 - hiking last few months, and have not been hiking Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102543 - resulting in dyspnea hiking 1 mile uphill to Cliff House and on Point                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102544 - Lobos returning to hospital, per above on 260727, ref SDS 0 9SAH; at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102545 - last did CRR cycle on 260905 and today.  Started hike in morning OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102546 - 1036, with temperature at 65, and reached 81.  East wind 15 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102547 - mostly 10 mph.  Continued East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102548 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102549 - flat grade, some places 3% uphill, and very light traffic.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102550 - normal pace 15 minute miles.  Hiked across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102551 - back today.  Continued uphill 4% grade to end of Turtle Creek.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102552 - left onto Ayers heading East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102553 - mile 5, turned right hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102554 - parking lots of shopping complex parallel to Clayton Road.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102555 - Lucky store to buy banana with potassium that complements meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102556 - energy, and aids swallowing meds to slip through LESV expanded from 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102557 - mm to 17 mm during EGD dilation on 260821. 260821 0830, ref SDS D3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102558 - 274L Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102559 - sidewalk .5 miles.  Did not stop at Mountain Mike's Pizza restaurant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102560 - to take meds because there was no energy deficit at this point caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102561 - by dysfunctional ANS, occurred previously, e.g., on 250418 in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102562 - study on 250101 0704. ref SDS 71 OFS1  Turned right going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102563 - Ygnacio Valley Road still using concrete sidewalk .5 miles that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102564 - cause feet and knee injuries.  Hoka Clifton shoe cushioning moderates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102565 - these injuries.  Continued past Park Highlands Road at traffic stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102566 - light and heading West .25 miles on very narrow asphalt shoulder next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102567 - to high risk morning commute traffic.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102568 - Valley Road hiking on wider shoulder past stop light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102569 - Boulevard.  Hiked another .25 miles stopped at Chevron gas station and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102570 - store. mile 07 time 1252 temp 77 and wind 09 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102571 - with no artifact.  Kardia reported HR 101 BPM Tachycardia, - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102572 - below. ref SDS 0 8J4Q  Bloating PL 3, both feet metatarsalgia PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102573 - Left foot #1 PL 0 and #5 PL 1, right foot #5 PL 1, top #345 PL 2 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102574 - peeling off felt padding bottom of insert, see above. ref SDS 0 6HRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102575 - Took 1 Naproxen 500 mg for pain, total today 2.  Took 4 magnesium 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102576 - mg pills total today 8.  Took 2 CoQ10 200 mg pills total today 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102577 - Took 2 Turmeric Curcumin to lower inflammation, total today 4.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102578 - softdrink purchased from Chevron store for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102579 - nutrition - banana purchased at Lucky store enables swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102580 - medication pills combined with bites of banana to slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102581 - now expanded from 15 to 17 mm on 260821.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102582 - liquid for HDL and energy to hike hills.  Took Nuun electrolyte pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102583 - Changed to 2nd pair Smart Wool socks - all per above. ref SDS 0 C2V9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102584 - Hiked back on Ygnacio Vallery Road .5 mile while swallowing Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102585 - electrolyte pill, in order to spit out reflux that occurs taking this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102586 - fizzing medicine.  On starting back HR 143 occurred for 1 minute,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102587 - similar to recent momentary spikes after stopping for EKG, meds,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102588 - nutrition/hydration.  This was highest HR entire hike, including doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102589 - mile hikes up 12% grade on Crystal Ranch Road.  At Michigan Boulevard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102590 - turned around and hiked back to Chevron at Pine Hollow.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102591 - heading East on Pine Hollow about .5 mile.  Did not do 5-mile loop to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102592 - end of Pine Hollow and back, because later hiking 8-mile Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102593 - Road loop 5% - 10% grade training for Half Dome.  Headed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102594 - Ygnacio and turned left heading West on Campus Drive.  Continued 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102595 - mile uphill 4% grade against wind 12 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102596 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102597 - miles.  At mile 11, turned left onto Crystal Ranch Road - 2 days in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102598 - row many months after skipping this route entire year.  Hiked South 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102599 - mile uphill 7% grade with 12 mph wind.  Handled this well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102600 - through nose without dyspnea nor stopping.  At summit continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102601 - grade .5 miles.  Continued downhill .25 miles 5% grade.  At Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102602 - Woods Way continued uphill on Crystal Ranch Road .5 miles 12% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102603 - against wind 12 mph.  Road ends at top of hill.  Stopped mile 13 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102604 - 1531, temp 82, wind 09 mph; EKG looks mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102605 - artifact.  Kardia reported HR 123 BPM (...  HR - no wait to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102606 - cellphone connection...) Tachycardia - see below. ref SDS 0 9ITE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102607 - Bloating PL 5, energy deficit PL 2, feet metatarsalgia PL 1.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102608 - foot #1 PL 0 and #5 PL 0, right foot #5 PL 0, top #345 PL 2.  Took no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102609 - meds and NPO.  Hiked back downhill on Crystal Ranch Road 12% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102610 - miles.  Did not feel mildly wobbly/dizzy, as occurred yesterday.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102611 - bottom of hill continued uphill .25 mile, then returned and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102612 - left onto Rolling Woods Way going East .5 miles uphill 10% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102613 - against 12 mph wind.  At summit continued downhill 1 mile.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102614 - left onto Pine Hollow.  Hiked 1 mile North, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102615 - Campus Drive again.  Hiked West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102616 - wind 12 mph.  Turned left onto Ygnacio Valley Road heading West flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102617 - grade .5 mile.  Continued West past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102618 - .5 miles against wind 15 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102619 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102620 - camber.  Continued West .5 mile to summit - mile 16 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102621 - traffic barrier.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102622 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102623 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102624 - against oncoming traffic.  Pace fast despite PL 3 right foot top #345.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102625 - Turned left onto Treat hiking West .25 miles.  Turned North onto Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102626 - and hiked .25 mile.  Turned around before reaching Kaski.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102627 - and then home.  Ended hike mile 21 time 1753 temp 79, wind 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102628 - bloating PL 2, energy deficit PL 2, feet metatarsalgia PL 2, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102629 - #1 edge PL 1, #5 edge PL 2, right foot #1 PL 0, #5 PL 3, top #345 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102630 - 5, burning sensation PL 0, shin splints PL 0, left knee PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102631 - knee PL 0, left shoulder PL 0.  EKG sinus with few beats mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102632 - artifact, Kardia reported HR 119 Tachycardia looks mostly uniform -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102633 - see below. ref SDS 0 OU3R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102644 -  ..
102645 - Kardia recorded HR 047 at 0910, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102646 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102647 - hiking 20 miles temp 82, per above, ref SDS 0 PHSA, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102648 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102649 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102650 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102651 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102654 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102655 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260906-ecg-091018_mile_00_047_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102664 -  ..
102665 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102666 - California, hike 20 miles with max temperature 82, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102667 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102668 - ..
102669 -                                                                                                                                                                                                                                                                                                              x
102670 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102671 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102672 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102673 -       Date          260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 25043  
102674 -       Miles            21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0      0      0  
102675 -       HR AVG          111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no     no     no  
102676 -  **     MAX           153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report report report repo  
102677 -         Min            53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                          
102678 -       El Climb Ft    1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                          
102679 -       Temp Max         82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                          
102680 -       Wind Max         15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                          
102681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102683 -              https://flow.polar.com/training/analysis/8415386246                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102686 -               ..
102688 -   
102689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102693 -  ..
102694 - EKG at mile 07 time 1252, HR 101 BPM, temp 77, wind 09; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102695 - reported Tachycardia... heart rate looks uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102696 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102699 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102700 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260906-ecg-125212_mile_07_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102705 -  ..
102706 - EKG at mile 13 time 1531, HR 123 BPM, temp 82, wind 09; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102707 - reported Tachycardia... heart rate looks mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102708 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102711 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102712 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260906-ecg-153101_mile_13_123_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102716 -  ..
102717 - End hike EKG at mile 21, time 1753 HR 119 temp 79, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102718 - EKG reported Tachycardia... looks like sinus mostly uniform with few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102719 - beats artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102720 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102723 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102724 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260906-ecg-175301_mile_21_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102729 -  ..
102730 - Post hike HR profile beginning 2245, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102731 - hiking 21 miles with temperature 81, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102732 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102733 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102734 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102735 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102738 -        ..
102739 -       Date      260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628  ..//..    
102740 -       Time       2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201             
102741 -       Hours         9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11             
102742 -       HR AVG       63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56             
102743 -       HR MAX      123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97             
102744 -       HR Min       38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36             
102745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102748 -              https://flow.polar.com/training/analysis/8415745942                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102750 -  ..
102751 - HRV seems 10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102754 -   
102755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102758 -  ..
102759 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102760 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102761 - Dinner - steak cottage cheese brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102763 -  ..
102764 - Vomiting: 0% - bloating PL 3  seems better this morning, more pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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102786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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102788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102807 -         ..
102808 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102809 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102810 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102811 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102812 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102813 -  132.  260907 0700............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102814 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102815 -               0710....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
102816 -               0720....BP HR..................................................... 174  68  55  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102817 -               0725....BP HR..................................................... 160  76  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102818 -               0730....BP HR..................................................... 155  71  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102819 -               0735....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102820 -               1045....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102821 -               1045....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
102822 -               1045... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102823 -               1045....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102824 -               1045....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102825 -               1045....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102826 -               1130....Tramadol  50 mg took 2 pills small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102827 -               1130... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102828 -               1130....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
102829 -               0000...
102830 -  ..
102831 -               1221....miles...........  22.0  22.0  413   413 minutes  temp  91 wind 07  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102832 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102833 -               1529....mile 10 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102834 -               1529....Tramadol  50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102835 -               1529... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102836 -               1529... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102837 -               1529....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
102838 -               1529... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102839 -               1529... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102840 -               1529... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102841 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102842 -               2037... Hike ends mile 22... ref SDS 0 OU3R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102843 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102844 -               2045....weight.................................... 179  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102845 -               2050....BP HR..................................................... 133  79  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102846 -               2055....BP HR..................................................... 131  75  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102847 -               2100....BP HR..................................................... 127  73  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102848 -               0000...
102849 -  ..
102850 -               2100... 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                                                                                                                                                                                                                                                                                  
102851 -               2130............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
102852 -               2130............ 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                                                                                                                                                                                                                                                                                                                                                                                   
102853 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102854 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102855 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102856 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102857 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102858 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102859 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102860 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102863 -  ..
102864 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102865 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102867 -  ..
102868 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102869 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102870 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102871 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102872 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102873 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102874 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102876 -  ..
102877 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102878 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102880 -  ..
102881 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102882 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102884 -  ..
102885 - Reflux slept in bed 60%, and in recliner chair 40% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102886 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102890 -  ..
102891 - Summary... swallowing nutrition, hydration and meds improved but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102892 - difficult after EGD dilation on 250821 - bloating PL 3 maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102893 - but still difficult.  Higher temperature, right knee hurting limited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102894 - distance; could not hike full 8-mile loop Crystal Ranch Road train for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102895 - Half Dome 1st time in 6 months.  Skipped upper body strength training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102896 - on exercise equip - did not hike loops around main buildings college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102897 - Still good results wearing Hoka Clifton 11 shoes, except blisters top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102898 - right foot #345.  Wore only Smart wool socks, and changed socks mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102899 - 10.  Might try modifying Powerstep inserts to lower forefoot below top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102900 - of shoes.  Switching from Naproxen to Tramadol, because nearly out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102901 - Naproxen and could not order refill.  Tramadol caused neurological                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102902 - deficits - degrading pace, wobbly, veering an hour after taking 3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102903 - and 4th Tramadol at mile 10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102907 -         ..
102908 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102909 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102910 -        Stomach pain bloating unstable ANS...........   3         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
102911 -        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                                                                                                                                                                                                                                                                                                                                                                                         
102912 -        Hands cramping hurting - post hike...........   3         40  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102913 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102914 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102915 -        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                                                                                                                                                                                                                                                                                                                           
102916 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102917 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102918 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102919 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102920 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
102921 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102922 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
102923 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102924 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
102925 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102926 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102927 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102928 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102929 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
102930 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102931 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102932 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102933 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102934 -        Knee right meniscus PRP 190816...............   6         40  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102935 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102936 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102937 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102938 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102939 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102940 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102941 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102942 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102943 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102944 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102945 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102946 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102947 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102948 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
102949 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102950 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102951 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
102952 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
102953 -        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                                                                                                                                                                                                                                                                                                                           
102954 -        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                                                                                                                                                                                                                                                                                                                                                                                    
102955 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102956 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
102957 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102958 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102959 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102960 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
102961 -        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                                                                                                                                                                                                                                                                                                                                           
102962 -        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                                                                                                                                                                                                                                                                                                                                           
102963 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102964 -        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                                                                                                                                                                                                                                                                                                                                                                                      
102965 -        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                                                                                                                                                                                                                                                                                                                                                                                        
102966 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
102967 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
102968 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102969 -        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                                                                                                                                                                                                                                                                                                                                                              
102970 -        Callus little toe #5 left foot...PRP 210705..   2         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102971 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
102972 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102973 -        Blister top foot at toe line right foot......   6         30  toes #3, 4 5 suffered pain wearing new Hoka Clifton #11 and Wrightsocks dual-ply and later Smart Wool socks, PL 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                        
102974 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
102975 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102976 -        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                                                                                                                                                                                                                                                                                          
102977 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
102978 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102979 -        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                                                                                                                                                                                                                                                                                                                                                                               
102980 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102981 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102982 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102983 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102984 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102985 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102986 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102987 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
102988 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102989 -        Hiker's rash vasculitis.see 210618...........   5         30  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102993 -  ..
102994 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102995 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102996 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102997 - PL 2.  Used Zentoe caps ordered on 260823 1100. ref SDS D4 CF5I left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102998 - foot #1, and both feet Zentoe caps #45.  Modified inserts yielded some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102999 - reduced pain top #345.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103001 -  ..
103002 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103003 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103004 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103005 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103006 - Continued with right insert padding peeled off to reduce pressure from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103007 - shoe cover on #345, performed on 260906, and needs complete removal of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103008 - residual padding, per above. ref SDS 0 6HRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103010 -  ..
103011 - Callus Injuries - large sections callus close to peeling off again on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103012 - left foot #1 edge and bottom of toe, previously completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103013 - per above. ref SDS 0 TI2H  Doctor Tang and his assistant, John, in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103014 - Podiatry maintained wounds from these feet callus removals on 260730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103015 - 0900, ref SDS C9 5A4I; this one large callus left foot #1 continues to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103016 - grow back, unlike right foot after peeling off, has not recurred;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103017 - however, bubble blister occurred at mile 10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103019 -  ..
103020 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103021 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103022 - Switched Smart wool socks at mile 7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103027 -  ..
103028 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103029 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103030 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103031 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103032 - 2 Tramadol 50 mg (switched from Naproxen, because nearly out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103033 - Naproxen) for pain management.  No metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103034 - hike today, and both feet #1 and #5 calluses PL 0 - were shaved down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103035 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C9 5H6F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103036 - now pending treatment again on 260910 1100. left foot #1 #5 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103037 - growing again, possibly more slowly - wore toe caps today, purchased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103038 - on 260823 1100. ref SDS D4 CF5I, and positioned per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103039 - 9TS1  Took 4 Magnesium Complex 300 mg pills for cellular energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103040 - absorbing lactic acid, and reducing inflammation, all to enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103041 - that increases HDL and EPCs, which together regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103042 - vessels - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103043 - capsules for energy - CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103044 - supports an electron transport chain (ETC) giving human cells energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103045 - and protects heart tissue from harmful free radicals and stress - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103046 - case study on 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103047 - 2250 mg pills to resolve inflammation, essential for HDL to rise - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103048 - again case study on 200101 0701. ref SDS 21 NKSY  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103049 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103050 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103051 - easier when swallowed combined with food chewed to a slurry combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103052 - with carbonated softdrink.  About 20 minutes later, after dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103053 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103054 - above. ref SDS 0 IU5Y  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103055 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103056 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103057 - (arrhythmia - variable heart rate from dysfunctional ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103058 - cardiac ablation on 240611) see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103059 - O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103060 - conditioning for Half Dome - because extra weight increases pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103061 - that causes feet injuries, e.g., calluses.  Today, did not hike 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103062 - loop around the block to start hike, which identifies bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103063 - feet wound issues that can be treated before problems arise miles from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103064 - home.  Hiked Cuneo .25 mile and turned left, onto Treat - was hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103065 - less than well immediately, despite new Hoka Clifton 11 shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103066 - good rebound energy - took several miles to maintain good pace 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103067 - minute miles.  Steady hiking caused HDL 65 on 260302, but pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103068 - lowered to HDL 51 on 260727; daily hiking for next 10 days, elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103069 - lipids back to HDL 55 on 260806 0901. ref SDS D0 UE6H  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103070 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103071 - sustained, despite disparate hiking last few months, and have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103072 - hiking Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103073 - to Cliff House and on Point Lobos returning to hospital, per above on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103074 - 260727, ref SDS 0 9SAH; at last did CRR cycle on 260905 and today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103075 - Started hike in morning OA 1036, with temperature at 65, and reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103076 - 91.  East wind 07 mph and mostly  4 mph.  Continued East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103077 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103078 - Road for 1.5 miles mostly flat grade, some places 3% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103079 - light traffic.  Maintained normal pace 15 minute miles.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103080 - across Newhall Community park and back today.  Continued uphill 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103081 - grade to end of Turtle Creek.  Turned left onto Ayers heading East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103082 - miles on asphalt road shoulder.  At mile 5, turned right hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103083 - .5 miles on asphalt pavement in parking lots of shopping complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103084 - parallel to Clayton Road.  Stopped at Lucky store to buy banana with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103085 - potassium that complements meds for energy, and aids swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103086 - to slip through LESV expanded from 15 mm to 17 mm during EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103087 - on 260821. 260821 0830, ref SDS D3 274L  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103088 - traffic light and continued on concrete sidewalk .5 miles.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103089 - stop at Mountain Mike's Pizza restaurant to take meds because there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103090 - was no energy deficit at this point caused by dysfunctional ANS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103091 - occurred previously, e.g., on 250418 in case study on 250101 0704.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103092 - ref SDS 71 OFS1  Turned right going West on Ygnacio Valley Road still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103093 - using concrete sidewalk .5 miles that can cause feet and knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103094 - injuries.  Hoka Clifton shoe cushioning moderates these injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103095 - Continued past Park Highlands Road at traffic stop light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103096 - West .25 miles on very narrow asphalt shoulder next to high risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103097 - morning commute traffic.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103098 - hiking on wider shoulder past stop light at Michigan Boulevard.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103099 - another .25 miles and turned left onto Pine Hollow, which bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103100 - severely left causing heading South-East.  Continued 2 miles nearly to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103101 - Mitchell Canyon Road - about 60% large, smooth asphalt surface with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103102 - favorable conditions for healing and preventing feet and knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103103 - injuries.  Turned around and hiked back.  Stopped at Chevron gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103104 - station and store. mile 10 time 1529 temp 90 and wind 04 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103105 - looks uniform with no artifact.  Kardia reported HR 112 BPM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103106 - Tachycardia, - see below. ref SDS 0 8GJF  Bloating PL 3, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103107 - deficit PL 2, both feet metatarsalgia PL 2.  Left foot #1 PL 1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103108 - PL 2, right foot #5 PL 1, top #345 PL 6 after peeling off felt padding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103109 - bottom of insert, continue need further removal of residual felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103110 - padding, see above. ref SDS 0 6HRS  Took 2 Tramadol 50 mg for pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103111 - total today 4.  Took 4 magnesium 300 mg pills total today 8.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103112 - CoQ10 200 mg pills total today 4.  Took 2 Turmeric Curcumin to lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103113 - inflammation, total today 4.  Sips softdrink purchased from Chevron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103114 - store for hydration and swallowing nutrition - banana purchased at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103115 - Lucky store enables swallowing medication pills combined with bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103116 - banana to slip through LESV now expanded from 15 to 17 mm on 260821.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103117 - Took Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to hike hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103118 - Took Nuun electrolyte pill.  Changed to 2nd pair Smart Wool socks -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103119 - all per above. ref SDS 0 AKLV  Hiked back on Ygnacio Vallery Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103120 - mile while swallowing Nuun electrolyte pill, in order to spit out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103121 - reflux that occurs taking this fizzing medicine.  On standing up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103122 - resuming hike, HR 107 spiked to 128 - highest HR entire hike - similar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103123 - less severe increase than recent momentary spikes (yesterday, same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103124 - sequence sitting to standing HR increased from 90 to 149) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103125 - stopping for EKG, meds, nutrition/hydration.  This was highest HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103126 - entire hike, including doing mile hikes up 12% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103127 - Road.  At Michigan Boulevard turned around and hiked back to Chevron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103128 - at Pine Hollow.  Turned left heading East on Pine Hollow again.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103129 - .25 mile turned around and hiked back to Ygnacio and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103130 - heading West on Campus Drive.  Continued 1 mile uphill 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103131 - against wind 6 mph.  The road bends North.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103132 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 13, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103133 - left onto Crystal Ranch Road - 3 days in a row many months after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103134 - skipping this route entire year.  Hiked South 1 mile uphill 7% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103135 - with 5 mph wind.  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103136 - dyspnea nor stopping, except becoming increasingly wobbly and slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103137 - from having taken by now total 4 Tramadol 50 mg, including recently                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103138 - another 2 Tramadol.  At summit continued flat grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103139 - Continued downhill .25 miles 5% grade.  A young girl about 15, caught                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103140 - up with me and offered a plastic bottle of water, saying her mom told                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103141 - her I looked unwell.  Told her I was fine, having neurological effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103142 - of taking Tramadol, because knee hurting.  Took 2 gulps of water and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103143 - returned the bottle.  Thanked her for concern and the water.  Think                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103144 - her name was Alice.  Others have provided ad hoc water over the years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103145 - from time to time.  Continued hike - at Rolling Woods Way turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103146 - going East .5 miles uphill 15% grade against 04 mph wind.  Became so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103147 - wobbly and slow that Polar GPS/HR monitor reported distance was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103148 - suddenly 25 miles that was actually 17 miles, based on increased short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103149 - steps.  At summit continued downhill 1 mile 12% grade.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103150 - onto Pine Hollow.  Hiked 1 mile North, and turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103151 - Drive again.  Hiked West 1 mile uphill 3% - 4% grade against wind 05                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103152 - mph.  Turned left onto Ygnacio Valley Road heading West flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103153 - mile.  Continued West past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103154 - against wind 04 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103155 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103156 - camber.  Continued West .5 mile to summit - mile 16 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103157 - traffic barrier.  Wanted to continue West doing 8-mile loop on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103158 - Grove, Treat and home, but was very weak, taking short, staggering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103159 - steps, and right knee PL 6.  Turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103160 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103161 - downhill 5% grade then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103162 - shoulder against oncoming traffic, with increasing wobbly and veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103163 - left and right.  Pace continued very slow.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103164 - hiking West .25 miles.  Turned North onto Cuneo and then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103165 - hike mile 22 time 2037 temp 90, wind 07, bloating PL 3, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103166 - PL 2, feet metatarsalgia PL 2, left foot #1 edge PL 1, #5 edge PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103167 - right foot #1 PL 0, #5 PL 3, top #345 PL 5, burning sensation PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103168 - shin splints PL 0, left knee PL 0, right knee PL 3, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103169 - 0.  EKG sinus with no artifact, Kardia reported HR 107 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103170 - looks mostly uniform - see below. ref SDS 0 6IHG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103181 -  ..
103182 - Kardia recorded HR 043 at 0932, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103183 - mostly uniform heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103184 - no AFL after hiking 21 miles temp 81, per above, ref SDS 0 KHWR, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103185 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103186 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103187 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103188 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103191 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103192 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260907-ecg-093229_mile_00_043_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103201 -  ..
103202 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103203 - California, hike 22 miles with max temperature 90, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103204 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103205 - ..
103206 -                                                                                                                                                                                                                                                                                                              x
103207 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103208 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103209 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103210 -       Date          260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 25050  
103211 -       Miles            22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0      0  
103212 -       HR AVG          110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no     no  
103213 -  **     MAX           135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report report repo  
103214 -         Min            72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                                   
103215 -       El Climb Ft     885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                                   
103216 -       Temp Max         91     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                                   
103217 -       Wind Max          7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                                   
103218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103220 -              https://flow.polar.com/training/analysis/8416097614                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103223 -               ..
103225 -   
103226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103230 -  ..
103231 - EKG at mile 10 time 1529, HR 112 BPM, temp 77, wind 04; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103232 - reported Tachycardia... heart rate looks uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103233 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103236 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103237 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260907-ecg-152923_mile_10_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103241 -  ..
103242 - End hike EKG at mile 22, time 2037 HR 107 temp 90, wind 12 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103243 - EKG reported Tachycardia... looks like sinus totally uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103244 - beats artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103245 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103248 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103249 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260907-ecg-203729_mile_22_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103254 -  ..
103255 - Post hike HR profile beginning 2339, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103256 - hiking 22 miles with temperature 91, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103257 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103258 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103259 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103260 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103263 -        ..
103264 -       Date      260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629  260628    
103265 -       Time       2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000    2201     
103266 -       Hours         7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11      11     
103267 -       HR AVG       66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70      56     
103268 -       HR MAX      109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107      97     
103269 -       HR Min       47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39      36     
103270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103273 -              https://flow.polar.com/training/analysis/8416393919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103275 -  ..
103276 - HRV seems  0% 0 and  30% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103279 -   
103280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103283 -  ..
103284 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103285 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103286 - Dinner - steak cottage cheese asparagus brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103288 -  ..
103289 - Vomiting: 0% - bloating PL 3  seems better this morning, more pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103332 -         ..
103333 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103334 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103335 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103336 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103337 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103338 -  132.  260908 0650............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103339 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103340 -               0700....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
103341 -               0710....BP HR..................................................... 151  85  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103342 -               0715....BP HR..................................................... 144  82  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103343 -               0710....BP HR..................................................... 171  71  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103344 -               0715....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103345 -               0745....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103346 -               0745....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
103347 -               0745... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103348 -               0745....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103349 -               0745....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103350 -               0745....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103351 -               0830....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103352 -               0830... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103353 -               0830....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
103354 -               0000...
103355 -  ..
103356 -               0829....miles...........  12.0  34.0  205   618 minutes  temp  88 wind 08  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103357 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103358 -               1529....mile 10 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103359 -               1529....Tramadol  50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103360 -               1529... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103361 -               1529... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103362 -               1529....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
103363 -               1529... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103364 -               1529... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103365 -               1529... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103366 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103367 -               2037... Hike ends mile 12... ref SDS 0 7AYM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103368 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103369 -               1225....weight.................................... 181  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103370 -               2030....BP HR..................................................... 133  79  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103371 -               2055....BP HR..................................................... 131  75  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103372 -               2100....BP HR..................................................... 127  73  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103373 -               0000...
103374 -  ..
103375 -               2100... 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                                                                                                                                                                                                                                                                                  
103376 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103377 -               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                                                                                                                                                                                                                                                                                                                                                                                   
103378 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103379 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103380 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103381 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103382 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103383 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103384 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103385 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103388 -  ..
103389 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103390 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103392 -  ..
103393 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103394 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103395 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103396 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103397 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103398 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103399 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103401 -  ..
103402 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103403 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103405 -  ..
103406 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103407 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103409 -  ..
103410 - Reflux slept in bed 60%, and in recliner chair 40% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103411 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103415 -  ..
103416 - Summary... swallowing nutrition, hydration and meds improved but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103417 - difficult after EGD dilation on 250821 - bloating PL 3 maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103418 - but still difficult.  Still good results wearing Hoka Clifton 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103419 - shoes, except blisters top right foot #345.  Wore only Smart wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103420 - socks, Might try modifying Powerstep inserts to further lower forefoot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103421 - below top of shoes.  Switched back to few remaining Naproxen after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103422 - severe neuological deficits 2 days ago.  Somewhere injured right knee,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103423 - maybe stepping from smooth pavement onto irregular natural ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103424 - Possible residual neurological deficits, but more likely heat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103425 - right knee injury degrading pace, wobbly, staggering, veering.  Cut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103426 - hike short without doing laps at college, exercise on outside                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103427 - equipment, and did not do Crystal Ranch 8-mile loop in hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103430 -         ..
103431 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103432 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103433 -        Stomach pain bloating unstable ANS...........   3         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
103434 -        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                                                                                                                                                                                                                                                                                                                                                                                         
103435 -        Hands cramping hurting - post hike...........   3         40  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103436 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103437 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103438 -        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                                                                                                                                                                                                                                                                                                                           
103439 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103440 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103441 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103442 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103443 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
103444 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103445 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
103446 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103447 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
103448 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103449 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103450 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103451 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103452 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
103453 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103454 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103455 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103456 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103457 -        Knee right meniscus PRP 190816...............   4         60  feeling right knee first time in several years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103458 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103459 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103460 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103461 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103462 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103463 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103464 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103465 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103466 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103467 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103468 -        Metatarsalgia left foot...PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103469 -        Metatarsalgia right foot..PRP 260403.........   2          5  PRP 260403 may be curing this injury - PL 3 at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103470 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103471 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
103472 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103473 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103474 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
103475 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
103476 -        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                                                                                                                                                                                                                                                                                                                           
103477 -        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                                                                                                                                                                                                                                                                                                                                                                                    
103478 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103479 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
103480 -        Callus big toe left foot.....................   1         30  wearing Hoka Clifton 11 shoes with Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103481 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103482 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103483 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
103484 -        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                                                                                                                                                                                                                                                                                                                                           
103485 -        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                                                                                                                                                                                                                                                                                                                                           
103486 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103487 -        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                                                                                                                                                                                                                                                                                                                                                                                      
103488 -        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                                                                                                                                                                                                                                                                                                                                                                                        
103489 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
103490 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
103491 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103492 -        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                                                                                                                                                                                                                                                                                                                                                              
103493 -        Callus little toe #5 left foot...PRP 210705..   2         30  wearing Hoka Clifton 11 shoes and Zentoe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103494 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
103495 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103496 -        Blister top foot at toe line right foot......   6         30  toes #3, 4 5 suffered pain wearing new Hoka Clifton #11 and Wrightsocks dual-ply and later Smart Wool socks, PL 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                        
103497 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
103498 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103499 -        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                                                                                                                                                                                                                                                                                          
103500 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
103501 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103502 -        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                                                                                                                                                                                                                                                                                                                                                                               
103503 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103504 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103505 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103506 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103507 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103508 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103509 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103510 -        Wobbly disoriented staggering dizzy..........   3         60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103511 -        Wasted - very fatigued, slow.................   3         60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103512 -        Hiker's rash vasculitis.see 210618...........   3         30  after hike quads show heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103516 -  ..
103517 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103518 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103519 - ref SDS D1 EQ7K  Good hike mostly PL 0.  Good cushioning metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103520 - PL 2.  Used Zentoe caps ordered on 260823 1100. ref SDS D4 CF5I left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103521 - foot #1, and both feet Zentoe caps #45.  Modified inserts yielded some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103522 - reduced pain top #345.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103524 -  ..
103525 - Orthotic inserts - wore 2nd of 2 sets Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103526 - with more padding to transfer load from forefeet to instep arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103527 - received from Doctor Hewitson at VA Podiatry on 260727 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103528 - ref SDS C8 LJHN  Worked well with Hoka Clifton 11 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103529 - Continued with right insert padding peeled off to reduce pressure from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103530 - shoe cover on #345, performed on 260906, and needs complete removal of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103531 - residual padding, per above. ref SDS 0 6HRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103533 -  ..
103534 - Callus Injuries - large sections callus close to peeling off again on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103535 - left foot #1 edge and bottom of toe, previously completed on 260725,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103536 - per above. ref SDS 0 TI2H  Doctor Tang and his assistant, John, in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103537 - Podiatry maintained wounds from these feet callus removals on 260730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103538 - 0900, ref SDS C9 5A4I; this one large callus left foot #1 continues to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103539 - grow back, unlike right foot after peeling off, has not recurred;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103540 - however, bubble blister occurred at mile 10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103542 -  ..
103543 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103544 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103545 - Switched Smart wool socks at mile 7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103550 -  ..
103551 - Concord 12 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103552 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103553 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103554 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103555 - 2 Tramadol 50 mg (switched from Naproxen, because nearly out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103556 - Naproxen) for pain management.  No metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103557 - hike today, and both feet #1 and #5 calluses PL 0 - were shaved down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103558 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C9 5H6F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103559 - now pending treatment again on 260910 1100. left foot #1 #5 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103560 - growing again, possibly more slowly - wore toe caps today, purchased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103561 - on 260823 1100. ref SDS D4 CF5I, and positioned per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103562 - 9TS1  Took 4 Magnesium Complex 300 mg pills for cellular energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103563 - absorbing lactic acid, and reducing inflammation, all to enable hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103564 - that increases HDL and EPCs, which together regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103565 - vessels - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103566 - capsules for energy - CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103567 - supports an electron transport chain (ETC) giving human cells energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103568 - and protects heart tissue from harmful free radicals and stress - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103569 - case study on 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103570 - 2250 mg pills to resolve inflammation, essential for HDL to rise - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103571 - again case study on 200101 0701. ref SDS 21 NKSY  Swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103572 - separately (1 at a time) and whole combined with small amount avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103573 - mayonaise, peanut butter and margarine - pills slip through LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103574 - easier when swallowed combined with food chewed to a slurry combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103575 - with carbonated softdrink.  About 20 minutes later, after dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103576 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103577 - above. ref SDS 0 JMEI  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103578 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103579 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103580 - (arrhythmia - variable heart rate from dysfunctional ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103581 - cardiac ablation on 240611) see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103582 - O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103583 - conditioning for Half Dome - because extra weight increases pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103584 - that causes feet injuries, e.g., calluses.  Today, did not hike 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103585 - loop around the block to start hike, which identifies bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103586 - feet wound issues that can be treated before problems arise miles from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103587 - home.  Hiked Cuneo .25 mile and turned left, onto Treat - was hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103588 - well immediately wearing new Hoka Clifton 11 shoes with good rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103589 - energy.  Steady hiking caused HDL 65 on 260302, but pausing lowered to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103590 - HDL 51 on 260727; daily hiking for next 10 days, elevated lipids back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103591 - to HDL 55 on 260806 0901. ref SDS D0 UE6H  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103592 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103593 - despite disparate hiking last few months, and have not been hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103594 - Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill to Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103595 - House and on Point Lobos returning to hospital, per above on 260727,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103596 - ref SDS 0 9SAH; at last did CRR cycle on 260905 and today.  Started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103597 - hike in morning OA 1036, with temperature at 65, and reached 81.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103598 - wind 12 mph and mostly  6 mph.  Continued East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103599 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103600 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103601 - traffic.  Maintained normal pace 15 minute miles.  Hiked across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103602 - Newhall Community park and back today.  Continued uphill 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103603 - end of Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103604 - asphalt road shoulder.  At mile 5, turned right hiking South .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103605 - on asphalt pavement in parking lots of shopping complex parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103606 - Clayton Road.  Stopped at Lucky store to buy banana with potassium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103607 - that complements meds for energy, and aids swallowing meds to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103608 - through LESV expanded from 15 mm to 17 mm during EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103609 - 260821. 260821 0830, ref SDS D3 274L  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103610 - light and continued on concrete sidewalk .5 miles.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103611 - Mountain Mike's Pizza restaurant to take meds because there was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103612 - energy deficit at this point caused by dysfunctional ANS, occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103613 - previously, e.g., on 250418 in case study on 250101 0704. ref SDS 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103614 - OFS1  Turned right going West on Ygnacio Valley Road still using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103615 - concrete sidewalk .5 miles that can cause feet and knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103616 - Hoka Clifton shoe cushioning moderates these injuries.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103617 - Park Highlands Road at traffic stop light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103618 - on very narrow asphalt shoulder next to high risk morning commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103619 - traffic.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103620 - shoulder past stop light at Michigan Boulevard.  Hiked another .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103621 - miles and turned left onto Pine Hollow, which bends severely left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103622 - causing heading South-East.  Continued .25 miles - turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103623 - hiked back to Ygnacio and turned left heading West on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103624 - Continued 1 mile uphill 4% grade against wind 6 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103625 - North.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103626 - grade .5 miles.  At mile 10, continued West past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103627 - uphill 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103628 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103629 - to avoid severe camber.  Turned right onto Cowell heading North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103630 - miles using asphalt shoulder downhill 5% grade then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103631 - miles, then .5 miles in narrow shoulder against oncoming traffic, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103632 - increasing wobbly and veering left and right.  Pace continued very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103633 - slow.  Turned left onto Treat hiking West .25 miles.  Turned North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103634 - onto Cuneo and then home.  Ended hike mile 12 time 1216 temp 88, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103635 - 08, bloating PL 3, energy deficit PL 6, feet metatarsalgia PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103636 - foot #1 edge PL 2, #5 edge PL 2, right foot #1 PL 0, #5 PL 3, top #345                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103637 - PL 5, burning sensation PL 0, shin splints PL 0, left knee PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103638 - knee PL 4, left shoulder PL 0.  EKG sinus with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103639 - reported HR 098 Normal Sinus Rhythm, looks mostly uniform - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103640 - ref SDS 0 7AYM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103651 -  ..
103652 - Kardia recorded HR 044 at 0722, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103653 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103654 - likely no AFL after hiking 22 miles temp 97, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103655 - IU5Y, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103656 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103657 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103658 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103661 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103662 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260908-ecg-072244_mile_00_044_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103671 -  ..
103672 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103673 - California, hike 12 miles with max temperature 88, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103674 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103675 - ..
103676 -                                                                                                                                                                                                                                                                                                              x
103677 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103678 -                                                 x      x                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103679 -                     x      x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103680 -       Date          260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 25050  
103681 -       Miles            12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16      0     12      0      0      0      0      0      0  
103682 -       HR AVG          100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137     no    117     no     no     no     no     no     no  
103683 -  **     MAX           127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157   report  157   report report report report report repo  
103684 -         Min            72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68            34                                            
103685 -       El Climb Ft     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483           330                                            
103686 -       Temp Max         88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91            54                                            
103687 -       Wind Max          8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12            00                                            
103688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103690 -              https://flow.polar.com/training/analysis/8416669623                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103693 -               ..
103695 -   
103696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103699 -  ..
103700 - End hike EKG at mile 12, time 1216 HR  98 temp 88, wind 08 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103701 - EKG reported Normal Sinus Rhythm... looks like sinus totally uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103702 - with minor artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103703 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103706 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103707 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260908-ecg-121630_mile_12_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103712 -  ..
103713 - Post hike HR profile beginning 1946, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103714 - hiking 12 miles with temperature 96, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103715 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103716 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103717 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103718 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103721 -        ..
103722 -       Date      260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630  260629    
103723 -       Time       1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008    2000     
103724 -       Hours        11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10      11     
103725 -       HR AVG       68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62      70     
103726 -       HR MAX      136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     107     
103727 -       HR Min       40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37      39     
103728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103731 -              https://flow.polar.com/training/analysis/8417217948                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103733 -  ..
103734 - HRV seems  0% 0 and  60% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103737 -   
103738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103741 -  ..
103742 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103743 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103744 - Dinner - pizza 2 pieces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103746 -  ..
103747 - Vomiting: 0% - bloating PL 2  seems better this morning, more pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103791 -         ..
103792 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103793 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103794 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103795 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103796 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103797 -  132.  260909 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103798 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103799 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
103800 -               0730....BP HR..................................................... 151  85  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103801 -               0735....BP HR..................................................... 144  82  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103802 -               0740....BP HR..................................................... 171  71  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103803 -               0745....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103804 -               0000...
103805 -  ..
103806 -               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                                                                                                                                                                                                                                                                                  
103807 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103808 -               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                                                                                                                                                                                                                                                                                                                                                                                   
103809 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103810 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103811 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103812 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103813 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103814 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103815 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103816 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103819 -  ..
103820 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103821 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103823 -  ..
103824 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103825 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103826 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103827 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103828 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103829 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103830 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103832 -  ..
103833 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103834 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103836 -  ..
103837 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103838 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103840 -  ..
103841 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103842 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103845 -  ..
103846 - No hiking - rest right knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103851 -  ..
103852 - Kardia recorded HR 044 at 1227, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103853 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103854 - likely no AFL after hiking 12 miles temp 88, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103855 - JMEI, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103856 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103857 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103858 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103861 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103862 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260909-ecg-122738_mile_00_073_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103868 -  ..
103869 - Post hike HR profile beginning 1918, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103870 - hiking  0 miles with temperature 103, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103871 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103872 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103873 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103874 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103877 -        ..
103878 -       Date      260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701  260630    
103879 -       Time       1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936    2008     
103880 -       Hours         9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6      10     
103881 -       HR AVG       63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64      62     
103882 -       HR MAX      144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     131     
103883 -       HR Min       38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41      37     
103884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103887 -              https://flow.polar.com/training/analysis/8417667194                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103889 -  ..
103890 - HRV seems  0% 0 and  60% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103893 -   
103894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103897 -  ..
103898 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103899 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103900 - Dinner - steak potato cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103902 -  ..
103903 - Vomiting: 0% - bloating PL 2  seems better this morning, more pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103948 -         ..
103949 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103950 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103951 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103952 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103953 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103954 -  132.  260910 0410............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103955 -               0410....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103956 -               0415....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
103957 -               0420....BP HR..................................................... 151  85  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103958 -               0425....BP HR..................................................... 144  82  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103959 -               0430....BP HR..................................................... 171  71  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103960 -               0435....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103961 -               0000...
103962 -  ..
103963 -               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                                                                                                                                                                                                                                                                                  
103964 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103965 -               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                                                                                                                                                                                                                                                                                                                                                                                   
103966 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103967 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103968 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103969 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103970 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103971 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103972 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103973 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103976 -  ..
103977 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103978 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103980 -  ..
103981 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103982 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103983 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103984 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103985 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103986 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103987 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103989 -  ..
103990 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103991 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103993 -  ..
103994 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103995 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103997 -  ..
103998 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103999 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104002 -  ..
104003 - No hiking - rest right knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104007 -  ..
104008 - Kardia recorded HR 044 at 0427, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104009 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104010 - likely no AFL after hiking  0 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104011 - N3AN, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104012 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104013 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104014 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104017 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104018 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260910-ecg-042720_mile_00_066_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104023 -  ..
104024 - Post hike HR profile beginning 2117, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104025 - hiking  0 miles with temperature ___, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104026 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104027 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104028 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104029 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104032 -        ..
104033 -       Date      260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702  260701    
104034 -       Time       2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020    1936     
104035 -       Hours        10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11       6     
104036 -       HR AVG       63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66      64     
104037 -       HR MAX      108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     101     
104038 -       HR Min       39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39      41     
104039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104042 -              https://flow.polar.com/training/analysis/8418451421                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104044 -  ..
104045 - HRV seems 10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104048 -   
104049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104052 -  ..
104053 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104054 - Lunch - sandwich roast beef onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104055 - Dinner - steak potato cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104057 -  ..
104058 - Vomiting: 0% - bloating PL 3  seems aboutr same little less pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104104 -         ..
104105 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104106 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104107 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104108 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104109 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104110 -  132.  260911 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104111 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104112 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
104113 -               0720....BP HR..................................................... 151  85  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104114 -               0725....BP HR..................................................... 144  82  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104115 -               0730....BP HR..................................................... 171  71  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104116 -               0735....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104117 -               0000...
104118 -  ..
104119 -               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                                                                                                                                                                                                                                                                                  
104120 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104121 -               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                                                                                                                                                                                                                                                                                                                                                                                   
104122 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104123 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104124 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104125 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104126 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104127 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104128 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104129 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104132 -  ..
104133 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104134 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104136 -  ..
104137 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104138 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104139 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104140 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104141 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104142 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104143 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104145 -  ..
104146 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104147 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104149 -  ..
104150 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104151 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104153 -  ..
104154 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104155 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104158 -  ..
104159 - No hiking - rest right knee - asked Doctor Dang MRI.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104164 -  ..
104165 - Kardia recorded HR 052 at 0801, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104166 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104167 - after hiking  0 miles temp __, per above, ref SDS 0 3FUA, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104168 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104169 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104170 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104171 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104174 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104175 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260911-ecg-080118_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104180 -  ..
104181 - Post hike HR profile beginning 2013, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104182 - hiking  0 miles with temperature ___, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104183 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104184 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104185 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104186 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104189 -        ..
104190 -       Date      260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703  260702    
104191 -       Time       2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925    2020     
104192 -       Hours        10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12      11     
104193 -       HR AVG       67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69      66     
104194 -       HR MAX      114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     120     
104195 -       HR Min       39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39      39     
104196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104199 -              https://flow.polar.com/training/analysis/8419073239                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104201 -  ..
104202 - HRV seems 30% 0 and  30% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104205 -   
104206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104209 -  ..
104210 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104211 - Lunch - hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104212 - Dinner - steak potato cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104214 -  ..
104215 - Vomiting: 0% - bloating PL 3  seems about same little less pliable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104262 -         ..
104263 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104264 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104265 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104266 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104267 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104268 -  132.  260912 0630............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104269 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104270 -               0645....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
104271 -               0650....BP HR..................................................... 161  70  63  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104272 -               0655....BP HR..................................................... 165  70  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104273 -               0700....BP HR..................................................... 150  72  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104274 -               0705....weight.................................... 185
104275 -  ..
104276 -               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                                                                                                                                                                                                                                                                                  
104277 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104278 -               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                                                                                                                                                                                                                                                                                                                                                                                   
104279 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104280 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104281 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104282 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104283 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104284 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104285 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104286 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104289 -  ..
104290 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104291 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104293 -  ..
104294 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104295 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104296 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104297 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104298 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104299 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104300 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104302 -  ..
104303 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104304 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104306 -  ..
104307 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104308 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104310 -  ..
104311 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104312 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104318 -  ..
104319 - Kardia recorded HR 052 at 2137, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104320 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104321 - after hiking  0 miles temp __, per above, ref SDS 0 3FUA, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104322 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104323 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104324 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104325 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104328 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104329 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260912-ecg-214745_mile_00_072_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104332 -  ..
104333 - No hiking - rest right knee - pending MRI.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104338 -  ..
104339 - Post hike HR profile beginning 2234, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104340 - hiking  0 miles with temperature ___, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104341 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104342 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104343 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104344 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104347 -        ..
104348 -       Date      260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704  260703    
104349 -       Time       2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953    1925     
104350 -       Hours         9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11      12     
104351 -       HR AVG       61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60      69     
104352 -       HR MAX       98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     118     
104353 -       HR Min       37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38      39     
104354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104357 -              https://flow.polar.com/training/analysis/8419778942                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104359 -  ..
104360 - HRV seems 10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104363 -   
104364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104367 -  ..
104368 - Breakfast - eggs roast beef onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104369 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104370 - Dinner - steak potato cottage cheese onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104372 -  ..
104373 - Vomiting: 0% - bloating PL 4  seems little less pliable hurts more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104421 -         ..
104422 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104423 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104424 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104425 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104426 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104427 -  132.  260913 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104428 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104429 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
104430 -               0730....BP HR..................................................... 157  78  56  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104431 -               0735....BP HR..................................................... 161  79  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104432 -               0740....BP HR..................................................... 173  80  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104433 -               0745....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104434 -               0000...
104435 -  ..
104436 -               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                                                                                                                                                                                                                                                                                  
104437 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104438 -               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                                                                                                                                                                                                                                                                                                                                                                                   
104439 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104440 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104441 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104442 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104443 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104444 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104445 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104446 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104449 -  ..
104450 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104451 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104453 -  ..
104454 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104455 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104456 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104457 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104458 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104459 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104460 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104462 -  ..
104463 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104464 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104466 -  ..
104467 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104468 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104470 -  ..
104471 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104472 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104475 -  ..
104476 - No hiking - rest right knee - pending MRI.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104481 -  ..
104482 - Kardia recorded HR 052 at 0845, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104483 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104484 - likely no AFL after hiking  0 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104485 - OR9G, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104486 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104487 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104488 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104491 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104492 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260913-ecg-084534_mile_00_046_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104497 -  ..
104498 - Post hike HR profile beginning 2018, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104499 - hiking  0 miles with temperature ___, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104500 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104501 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104502 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104503 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104506 -        ..
104507 -       Date      260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705  260704    
104508 -       Time       2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052    1953     
104509 -       Hours        10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10      11     
104510 -       HR AVG       72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65      60     
104511 -       HR MAX      122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     115     
104512 -       HR Min       42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36      38     
104513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104516 -              https://flow.polar.com/training/analysis/8420409331                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104518 -  ..
104519 - HRV seems 10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104522 -   
104523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104526 -  ..
104527 - Breakfast - pancake eggs milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104528 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104529 - Dinner - steak cottage cheese onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104531 -  ..
104532 - Vomiting: 0% - bloating PL 4  seems little less pliable hurts more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104580 -         ..
104581 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104582 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104583 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104584 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104585 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104586 -  132.  260914 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104587 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104588 -               0715....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
104589 -               0720....BP HR..................................................... 157  80  54  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104590 -               0725....BP HR..................................................... 172  74  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104591 -               0730....BP HR..................................................... 156  71  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104592 -               0735....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104593 -               0000...
104594 -  ..
104595 -               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                                                                                                                                                                                                                                                                                  
104596 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104597 -               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                                                                                                                                                                                                                                                                                                                                                                                   
104598 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104599 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104600 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104601 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104602 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104603 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104604 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104605 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104608 -  ..
104609 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104610 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104612 -  ..
104613 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104614 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104615 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104616 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104617 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104618 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104619 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104621 -  ..
104622 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104623 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104625 -  ..
104626 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104627 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104629 -  ..
104630 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104631 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104636 -  ..
104637 - Kardia recorded HR 052 at 0913, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104638 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104639 - likely no AFL after hiking  0 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104640 - 81DW, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104641 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104642 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104643 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104646 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104647 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260914-ecg-091307_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104650 -  ..
104651 - No hiking - rest right knee - pending MRI.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104656 -  ..
104657 - Post hike HR profile beginning 2026, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104658 - hiking  0 miles with temperature ___, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104659 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104660 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104661 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104662 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104665 -        ..
104666 -       Date      260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706  260705    
104667 -       Time       2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123    2052     
104668 -       Hours         9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10      10     
104669 -       HR AVG       64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63      65     
104670 -       HR MAX      124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     125     
104671 -       HR Min       39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40      36     
104672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104675 -              https://flow.polar.com/training/analysis/8420985742                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104678 -  ..
104679 - HRV seems 10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104683 -   
104684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104687 -  ..
104688 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104689 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104690 - Dinner - steak cottage cheese onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104692 -  ..
104693 - Vomiting: 0% - bloating PL 4  seems little less pliable hurts more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104742 -         ..
104743 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104744 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104745 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104746 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104747 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104748 -  132.  260915 0545............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104749 -               0545....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104750 -               0545....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
104751 -               0550....BP HR..................................................... 182  78  46  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104752 -               0555....BP HR..................................................... 172  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104753 -               0600....BP HR..................................................... 159  78  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104754 -               0605....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104755 -               0000...
104756 -  ..
104757 -               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                                                                                                                                                                                                                                                                                  
104758 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104759 -               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                                                                                                                                                                                                                                                                                                                                                                                   
104760 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104761 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104762 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104763 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104764 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104765 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104766 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104767 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104770 -  ..
104771 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104772 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104774 -  ..
104775 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104776 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104777 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104778 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104779 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104780 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104781 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104783 -  ..
104784 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104785 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104787 -  ..
104788 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104789 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104791 -  ..
104792 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104793 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104801 -  ..
104802 - Kardia recorded HR 052 at 0603, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104803 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104804 - likely no AFL after hiking  0 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104805 - 81DW, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104806 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104807 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104808 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104811 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104812 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260915-ecg-060348_mile_00_044_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104815 -  ..
104816 - No hiking - rest right knee - pending MRI.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104819 -  ..
104820 - Post hike HR profile beginning 2000, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104821 - hiking  0 miles with temperature ___, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104822 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104823 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104824 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104825 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104828 -        ..
104829 -       Date      260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707  260706    
104830 -       Time       2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047    2123     
104831 -       Hours        12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11      10     
104832 -       HR AVG       66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64      63     
104833 -       HR MAX      123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     126     
104834 -       HR Min       39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38      40     
104835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104838 -              https://flow.polar.com/training/analysis/8421768411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104841 -  ..
104842 - HRV seems 10% 0 and  30% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104846 -   
104847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104850 -  ..
104851 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104852 - Lunch - sandwich roast beef cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104853 - Dinner - hamburber cottage cheese onion pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104855 -  ..
104856 - Vomiting: 0% - bloating PL 3  seems more less pliable hurts less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104906 -         ..
104907 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104908 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104909 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104910 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104911 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104912 -  132.  260916 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104913 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104914 -               0725....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
104915 -               0730....BP HR..................................................... 145  74  50  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104916 -               0735....BP HR..................................................... 146  72  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104917 -               0740....BP HR..................................................... 181  67  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104918 -               0745....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104919 -               1030....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104920 -               1030....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
104921 -               1030... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104922 -               1030....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104923 -               1030....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104924 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104925 -               1050....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104926 -               1050... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104927 -               1050....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
104928 -               0000...
104929 -  ..
104930 -               1059....miles...........  17.0  17.0  288   288 minutes  temp  71 wind 21  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104931 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104932 -               1448....mile 13 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104933 -               1448....Tramadol  50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104934 -               1448... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104935 -               1448... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104936 -               1448....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
104937 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104938 -               1448... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104939 -               1448... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104940 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104941 -               1633... Hike ends mile 17... ref SDS 0 U2TK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104942 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104943 -               1640....weight.................................... 182  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104944 -               1645....BP HR..................................................... 150  77 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104945 -               1650....BP HR..................................................... 124  75  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104946 -               1655....BP HR..................................................... 131  71  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104947 -               0000...
104948 -  ..
104949 -               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                                                                                                                                                                                                                                                                                  
104950 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104951 -               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                                                                                                                                                                                                                                                                                                                                                                                   
104952 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104953 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104954 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104955 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104956 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104957 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104958 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104959 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104962 -  ..
104963 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104964 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104966 -  ..
104967 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104968 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104969 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104970 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104971 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104972 - declined considerably, though past few weeks has increased to every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104973 - other day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104975 -  ..
104976 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104977 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104979 -  ..
104980 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104981 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104983 -  ..
104984 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104985 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104989 -  ..
104990 - Summary... swallowing nutrition, hydration and meds improved but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104991 - difficult after EGD dilation on 250821 - bloating PL 2 maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104992 - but still difficult.  Tried hiking after resting right knee 7 days;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104993 - still PL 4, when hiking.  Lower temperature was helpful, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104994 - start early enough to hike full 8-mile loop Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104995 - Finally did upper body strength training on exercise equip hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104996 - loops around main buildings college.  Mixed results wearing Fitville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104997 - Rebound Core V1 Size 10.5 width 6E shoes - wider resulted in less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104998 - lateral pressure, poor rebound energy made hiking more difficult.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104999 - Switching back to Naproxen from Tramadol was big improvement - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105000 - neurological deficits - degrading pace, wobbly, veering that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105001 - taking Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105006 -         ..
105007 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105008 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105009 -        Stomach pain bloating unstable ANS...........   2         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
105010 -        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                                                                                                                                                                                                                                                                                                                                                                                         
105011 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105012 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105013 -        Chest pain...................................   3         10  occurred for 20 minutes - about 10 before arriving home, and 10 after arriving and before eating anything today, so likely not esophageal pressure on heart                                                                                                                                                                                                                                                                                                                                                                                  
105014 -        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                                                                                                                                                                                                                                                                                                                           
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......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105018 -        Neck turning head/chest left or right........   0        100  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  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 210705..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
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...............   4         60  feeling right knee after PRP on 260911 and injury last week pending MRI                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
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 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105041 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105042 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105043 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105044 -        Metatarsalgia left foot...PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105045 -        Metatarsalgia right foot..PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105046 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
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  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
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.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105057 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105058 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
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  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
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 -        Callus little toe #5 left foot...PRP 210705..   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105070 -        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  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
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..................   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                                                                                                                                                                                                                                                                                          
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.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105078 -        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                                                                                                                                                                                                                                                                                                                                                                               
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  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
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..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
105087 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105088 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105092 -  ..
105093 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105094 - Fitville Rebound Core V1 Size 10.5 width 6E received on 260414 1105.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105095 - ref SDS C1 6DG1, and replacing Hoka Clifton 11 shoes size 11.5 width                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105096 - 4E, received on 260816 1511, ref SDS D1 EQ7K  Good hike mostly PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105097 - Poor cushioning metatarsalgia PL 3.  Did not use toe caps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105099 -  ..
105100 - Orthotic inserts - switched to Stable Elite from 2nd of 2 sets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105101 - Powerstep Protech Classic Thin received from Doctor Hewitson at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105102 - Podiatry on 260727 0900. ref SDS C8 LJHN  Worked well with Fitville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105103 - Rebound Core V1 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105105 -  ..
105106 - Callus Injuries - wider 6E shoes reduced lateral pressure yielded PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105107 - 0-2 entire hike.  Bubble blister that occurred at mile 10 on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105108 - foot below #1, reported on 260908, per above. ref SDS 0 CF6T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105110 -  ..
105111 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105112 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105113 - Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105118 -  ..
105119 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105120 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105121 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105122 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105123 - 1 Naproxen 500 mg (switched back from Tramadol, because received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105124 - refill requested on 260907 1043. ref SDS D6 4N6O) for pain management.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105125 - No metatarsalgia pain in feet starting hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105126 - and #5 calluses PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105127 - Podiatry on 260730 0900, ref SDS C9 5H6F, and now pending treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105128 - again on 260910 1100. left foot #1 #5 calluses growing again, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105129 - more slowly; but, less lateral pressure wearing Fitville 6E wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105130 - shoes, so did not wear toe caps today, per above. ref SDS 0 1G9A  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105131 - 4 Magnesium Complex 300 mg pills for cellular energy, absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105132 - acid, and reducing inflammation, all to enable hiking that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105133 - HDL and EPCs, which together regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105134 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105135 - energy - CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105136 - electron transport chain (ETC) giving human cells energy, and protects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105137 - heart tissue from harmful free radicals and stress - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105138 - 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105139 - to resolve inflammation, essential for HDL to rise - see again case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105140 - study on 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105141 - at a time) and whole combined with bites of banana, because out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105142 - avocado - pills slip through LESV easier when swallowed combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105143 - food chewed to a slurry combined with carbonated softdrink.  About 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105144 - minutes later, after dressing for hike, took liquid Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105145 - and Ubiquinol CoQ10, all per above. ref SDS 0 D9TX  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105146 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105147 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105148 - and atrial fibrillation (arrhythmia - variable heart rate from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105149 - dysfunctional ANS following 6th cardiac ablation on 240611) see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105150 - study on 200101 0701. ref SDS 21 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105151 - stuff - good to build conditioning for Half Dome - because extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105152 - weight increases pressure that causes feet injuries, e.g., calluses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105153 - Today, hiked 1-mile loop around the block to start hike, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105154 - identifies bloating and feet wound issues that can be treated before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105155 - problems arise miles from home.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105156 - onto Treat - was hiking well immediately, i.e., did not take several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105157 - miles to maintain good pace 15 minute miles.  Steady hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105158 - Ranch Road 2 weeks ago caused HDL 65 on 260302, but pausing lowered to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105159 - HDL 51 on 260727; daily hiking for next 10 days, elevated lipids back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105160 - to HDLc 58 on 260908 1341. ref SDS D7 8IFG  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105161 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105162 - despite disparate hiking last few months, and have not been hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105163 - Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill to Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105164 - House and on Point Lobos returning to hospital, per above on 260727,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105165 - ref SDS 0 9SAH; at last did CRR cycle on 260905 and today.  Started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105166 - hike in morning OA 1059, with temperature at 60, and reached 71.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105167 - wind 20 mph and mostly 16 mph.  Continued East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105168 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105169 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105170 - traffic.  Maintained normal pace 15 minute miles.  Hiked across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105171 - Newhall Community park and back today.  Continued uphill 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105172 - end of Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105173 - asphalt road shoulder.  At mile 5, turned right hiking South .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105174 - on asphalt pavement in parking lots of shopping complex parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105175 - Clayton Road.  Stopped at Lucky store to buy banana with potassium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105176 - that complements meds for energy, and aids swallowing meds to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105177 - through LESV expanded from 15 mm to 17 mm during EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105178 - 260821. 260821 0830, ref SDS D3 274L  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105179 - light and continued on concrete sidewalk .5 miles.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105180 - Mountain Mike's Pizza restaurant to take meds because there was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105181 - energy deficit at this point caused by dysfunctional ANS, occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105182 - previously, e.g., on 250418 in case study on 250101 0704. ref SDS 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105183 - OFS1  Turned right going West on Ygnacio Valley Road still using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105184 - concrete sidewalk .5 miles that can cause feet and knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105185 - Hoka Clifton shoe cushioning moderates these injuries.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105186 - Park Highlands Road at traffic stop light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105187 - on very narrow asphalt shoulder next to high risk morning commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105188 - traffic.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105189 - shoulder past stop light at Michigan Boulevard.  Hiked another .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105190 - miles and turned left onto Pine Hollow, which bends severely left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105191 - causing heading South-East.  Continued .25 mile nearly to Discovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105192 - Way - about 100% smooth asphalt surface with favorable conditions for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105193 - healing and preventing feet and knee injuries.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105194 - hiked back.  Tunred left onto Campus Drive hiking 1 mile West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105195 - 3% against 20 mph wind.  Road bends North, at Ygnacio turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105196 - and hiked back uphill on Campus Drive 5% grade.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105197 - Parking California State University East Bay Concord Campus.  Hiked 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105198 - 1-mile loops around main buildings stopping in back each loop using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105199 - outdoor training equipment to do sets of 20 partial pullups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105200 - pushups.  On 5th loop stopped at cafeteria mile 13 time 1448 temp 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105201 - and wind 20 mph; EKG looks uniform with no artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105202 - HR 117 BPM Tachycardia, - see below. ref SDS 0 JT1Z  Bloating PL 2 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105203 - seems more pliable today - energy deficit PL 1, feet metatarsalgia PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105204 - 1, burning sensation PL 2.  Left foot #1 PL 0 and #5 PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105205 - #5 PL 0, top #345 PL 0, right knee PL 4.  Took 1 Naproxen 500 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105206 - pain, total today 2.  Took 4 magnesium 300 mg pills totoal today 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105207 - Took 2 CoQ10 200 mg pills total today 4.  Took 2 Turmeric Curcumin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105208 - lower inflammation, total today 4.  Sips softdrink purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105209 - College vending machine for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105210 - banana purchased at Lucky store enables swallowing medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105211 - combined with bites of banana to slip through LESV now expanded from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105212 - 15 to 17 mm on 260821 0830. ref SDS D3 433O  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105213 - ml liquid for HDL and energy to finish hike.  Took Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105214 - pill, all per above. ref SDS 0 5KRT. ref SDS 0 6PSU   Continued hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105215 - on standing up HR spiked to 147 on flat grade for 10 minutes, unusual,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105216 - like previously on, ref SDS 0 9LWS  Left campus heading North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105217 - on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105218 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105219 - grade .5 miles against wind 15 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105220 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105221 - severe camber.  Continued West .5 mile to summit - mile 15 end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105222 - concrete traffic barrier.  Did not continue over summit to Oak Grove;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105223 - right knee hurting.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105224 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105225 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105226 - against oncoming commute traffic.  Turned left onto Treat hiking West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105227 - .25 miles back to Cuneo, then home.  Ended hike mile 17 time 1633 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105228 - 68, wind 21, bloating PL 2, energy deficit PL 0, feet metatarsalgia PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105229 - 2, left foot #1 edge PL 0, #5 edge PL 0, right foot #1 fracture PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105230 - #5 PL 2, top #345 PL 0, burning sensation PL 2, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105231 - left knee PL 2, right knee PL 4, left shoulder PL 0.  EKG sinus with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105232 - few beats severe artifact, Kardia reported HR 114 Tachycardia looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105233 - mostly uniform - see below. ref SDS 0 U2TK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105240 -  ..
105241 - Kardia recorded HR 051 at 0835, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105242 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105243 - likely no AFL after hiking  0 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105244 - 8KQG, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105245 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105246 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105247 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105250 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105251 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260916-ecg-083511_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105260 -  ..
105261 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105262 - California, hike 17 miles with max temperature 71, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105263 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105264 - ..
105265 -                                                                                                                                                                                                                                                                                                              x
105266 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105267 -                                                 x      x                           w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105268 -                     x      x                    x                                  w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105269 -       Date          260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 250511 25051  
105270 -       Miles            17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27     16  
105271 -       HR AVG          114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112    137  
105272 -  **     MAX           152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130    157  
105273 -         Min            83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59     68  
105274 -       El Climb Ft     595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478    483  
105275 -       Temp Max         71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71     91  
105276 -       Wind Max         21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21     12  
105277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105279 -              https://flow.polar.com/training/analysis/8422065148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105282 -               ..
105284 -   
105285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105289 -  ..
105290 - EKG at mile 13 time 1448, HR 117 BPM, temp 71, wind 20; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105291 - reported Tachycardia... heart rate looks uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105292 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105295 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105296 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260916-ecg-144829_mile_13_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105300 -  ..
105301 - End hike EKG at mile 17, time 1633 HR 114 temp 71, wind 21 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105302 - EKG reported Tachycardia... looks like sinus totally uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105303 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105306 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105307 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260916-ecg-163344_mile_17_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105312 -  ..
105313 - Post hike HR profile beginning 2101, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105314 - hiking 17 miles with temperature  71, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105315 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105316 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105317 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105318 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105321 -        ..
105322 -       Date      260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708  260707    
105323 -       Time       2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009    2047     
105324 -       Hours        11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11      11     
105325 -       HR AVG       64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57      64     
105326 -       HR MAX      131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     111     
105327 -       HR Min       37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38      38     
105328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105331 -              https://flow.polar.com/training/analysis/8422420221                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105334 -  ..
105335 - HRV seems 25% 0 and  40% good and  35% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105339 -   
105340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105343 -  ..
105344 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105345 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105346 - Dinner - steak macaroni cheese onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105348 -  ..
105349 - Vomiting: 0% - bloating PL 3  seems more less pliable hurts less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105399 -         ..
105400 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105401 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105402 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105403 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105404 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105405 -  132.  260917 0705............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105406 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105407 -               0705....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
105408 -               0710....BP HR..................................................... 145  74  50  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105409 -               0715....BP HR..................................................... 146  72  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105410 -               0720....BP HR..................................................... 181  67  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105411 -               0725....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105412 -               1030....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105413 -               1030....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
105414 -               1030... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105415 -               1030....Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105416 -               1030....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105417 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105418 -               1040....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105419 -               1040... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105420 -               1040....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
105421 -               0000...
105422 -  ..
105423 -               1059....miles...........  11.0  28.0  179   467 minutes  temp  70 wind 07  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105424 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105425 -               0000....mile __ stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105426 -               0000....Tramadol  50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105427 -               0000... Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105428 -               0000... CoQ10 100 mg Ubiquinol took 2 pills  - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105429 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
105430 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105431 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105432 -               0000... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105433 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105434 -               1355... Hike ends mile 11... ref SDS 0 ZDVA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105435 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105436 -               1640....weight.................................... 182  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105437 -               1645....BP HR..................................................... 150  77 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105438 -               1650....BP HR..................................................... 124  75  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105439 -               1655....BP HR..................................................... 131  71  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105440 -               0000...
105441 -  ..
105442 -               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                                                                                                                                                                                                                                                                                  
105443 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
105444 -               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                                                                                                                                                                                                                                                                                                                                                                                   
105445 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105446 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105447 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105448 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105449 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105450 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105451 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105452 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105455 -  ..
105456 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105457 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105459 -  ..
105460 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105461 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105462 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105463 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105464 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105465 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105467 -  ..
105468 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105469 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105471 -  ..
105472 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105473 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105475 -  ..
105476 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105477 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105481 -  ..
105482 - Summary... swallowing nutrition, hydration and meds improved but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105483 - difficult after EGD dilation on 250821 - bloating PL 4, worsened a bit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105484 - and still difficult.  Lower temperature was helpful, but did not start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105485 - early enough to hike full 8-mile loop Crystal Ranch Road.  Still pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105486 - right knee PL 4, despite resting past 7 days.  Missed upper body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105487 - strength training on exercise equip because did not hike loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105488 - main buildings college.  Same mixed results wearing Fitville Rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105489 - Core V1 Size 10.5 width 6E shoes - wider caused less lateral pressure,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105490 - poor rebound energy made hiking more difficult.  Switching back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105491 - Naproxen from Tramadol was big improvement - no neurological deficits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105492 - - degrading pace, wobbly, veering that occurred taking Tramadol.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105493 - to cut hike short due to poor energy, bloating, knee pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105498 -         ..
105499 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105500 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105501 -        Stomach pain bloating unstable ANS...........   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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
105502 -        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                                                                                                                                                                                                                                                                                                                                                                                         
105503 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105504 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105505 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105506 -        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                                                                                                                                                                                                                                                                                                                           
105507 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105508 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105509 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105510 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105511 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
105512 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105513 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
105514 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105515 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
105516 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105517 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105518 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105519 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105520 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
105521 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105522 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105523 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105524 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105525 -        Knee right meniscus PRP 190816...............   4        100  feeling right knee after mystery injury OA 260908                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105526 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105527 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105528 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105529 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105530 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105531 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105532 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105533 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105534 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105535 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105536 -        Metatarsalgia left foot...PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105537 -        Metatarsalgia right foot..PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105538 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105539 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
105540 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105541 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105542 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
105543 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
105544 -        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                                                                                                                                                                                                                                                                                                                           
105545 -        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                                                                                                                                                                                                                                                                                                                                                                                    
105546 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105547 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
105548 -        Callus big toe left foot.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105549 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105550 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105551 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
105552 -        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                                                                                                                                                                                                                                                                                                                                           
105553 -        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                                                                                                                                                                                                                                                                                                                                           
105554 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105555 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105556 -        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                                                                                                                                                                                                                                                                                                                                                                                        
105557 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
105558 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
105559 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105560 -        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                                                                                                                                                                                                                                                                                                                                                              
105561 -        Callus little toe #5 left foot...PRP 210705..   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105562 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
105563 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105564 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105565 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
105566 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105567 -        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                                                                                                                                                                                                                                                                                          
105568 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
105569 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105570 -        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                                                                                                                                                                                                                                                                                                                                                                               
105571 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105572 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105573 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105574 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105575 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105576 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105577 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105578 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
105579 -        Wasted - very fatigued.......................   4         20  good energy until mile 8, seemed to vanish so ended hike mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105580 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105584 -  ..
105585 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105586 - Fitville Rebound Core V1 Size 10.5 width 6E received on 260414 1105.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105587 - ref SDS C1 6DG1, and replacing Hoka Clifton 11 shoes size 11.5 width                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105588 - 4E, received on 260816 1511, ref SDS D1 EQ7K  Good hike mostly PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105589 - Poor cushioning metatarsalgia PL 3.  Did not use toe caps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105591 -  ..
105592 - Orthotic inserts - switched to Stable Elite from 2nd of 2 sets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105593 - Powerstep Protech Classic Thin received from Doctor Hewitson at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105594 - Podiatry on 260727 0900. ref SDS C8 LJHN  Worked well with Fitville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105595 - Rebound Core V1 shoes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105597 -  ..
105598 - Callus Injuries - wider 6E shoes reduced lateral pressure yielded PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105599 - 0-2 entire hike.  Bubble blister that occurred at mile 10 on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105600 - foot below #1, reported on 260908, per above. ref SDS 0 CF6T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105602 -  ..
105603 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105604 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105605 - Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105610 -  ..
105611 - Concord 11 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105612 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105613 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105614 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105615 - 1 Naproxen 500 mg (switched back from Tramadol, because received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105616 - refill requested on 260907 1043. ref SDS D6 4N6O) for pain management.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105617 - No metatarsalgia pain in feet starting hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105618 - and #5 calluses PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105619 - Podiatry on 260730 0900, ref SDS C9 5H6F, and now pending treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105620 - again on 260910 1100. left foot #1 #5 calluses growing again, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105621 - more slowly; but, less lateral pressure wearing Fitville 6E wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105622 - shoes, so did not wear toe caps today, per above. ref SDS 0 1G9A  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105623 - 4 Magnesium Complex 300 mg pills for cellular energy, absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105624 - acid, and reducing inflammation, all to enable hiking that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105625 - HDL and EPCs, which together regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105626 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105627 - energy - CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105628 - electron transport chain (ETC) giving human cells energy, and protects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105629 - heart tissue from harmful free radicals and stress - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105630 - 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105631 - to resolve inflammation, essential for HDL to rise - see again case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105632 - study on 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105633 - at a time) and whole combined with bites of banana, because out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105634 - avocado - pills slip through LESV easier when swallowed combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105635 - food chewed to a slurry combined with carbonated softdrink.  About 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105636 - minutes later, after dressing for hike, took liquid Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105637 - and Ubiquinol CoQ10, all per above. ref SDS 0 D9TX  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105638 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105639 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105640 - and atrial fibrillation (arrhythmia - variable heart rate from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105641 - dysfunctional ANS following 6th cardiac ablation on 240611) see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105642 - study on 200101 0701. ref SDS 21 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105643 - stuff - good to build conditioning for Half Dome - because extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105644 - weight increases pressure that causes feet injuries, e.g., calluses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105645 - Today, hiked 1-mile loop around the block to start hike, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105646 - identifies bloating and feet wound issues that can be treated before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105647 - problems arise miles from home.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105648 - onto Treat - was hiking well immediately, i.e., did not take several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105649 - miles to maintain good pace 15 minute miles.  Steady hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105650 - Ranch Road 2 weeks ago caused HDL 65 on 260302, but pausing lowered to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105651 - HDL 51 on 260727; daily hiking for next 10 days, elevated lipids back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105652 - to HDLc 58 on 260908 1341. ref SDS D7 8IFG  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105653 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105654 - despite disparate hiking last few months, and have not been hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105655 - Crystal Ranch Road, resulting in dyspnea hiking 1 mile uphill to Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105656 - House and on Point Lobos returning to hospital, per above on 260727,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105657 - ref SDS 0 9SAH; at last did CRR cycle on 260905 and today.  Started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105658 - hike in morning OA 1059, with temperature at 60, and reached 71.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105659 - wind 20 mph and mostly 16 mph.  Continued East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105660 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105661 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105662 - traffic.  Maintained normal pace 15 minute miles.  Hiked across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105663 - Newhall Community park and back today.  Continued uphill 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105664 - end of Turtle Creek.  Turned left onto Ayers heading East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105665 - asphalt road shoulder.  At mile 5, turned right hiking South .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105666 - on asphalt pavement in parking lots of shopping complex parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105667 - Clayton Road.  Stopped at Lucky store to buy banana with potassium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105668 - that complements meds for energy, and aids swallowing meds to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105669 - through LESV expanded from 15 mm to 17 mm during EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105670 - 260821. 260821 0830, ref SDS D3 274L  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105671 - light and continued on concrete sidewalk .5 miles.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105672 - Mountain Mike's Pizza restaurant to take meds because there was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105673 - energy deficit at this point caused by dysfunctional ANS, occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105674 - previously, e.g., on 250418 in case study on 250101 0704. ref SDS 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105675 - OFS1  Turned right going West on Ygnacio Valley Road still using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105676 - concrete sidewalk .5 miles that can cause feet and knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105677 - Hoka Clifton shoe cushioning moderates these injuries.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105678 - Park Highlands Road at traffic stop light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105679 - on very narrow asphalt shoulder next to high risk morning commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105680 - traffic.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105681 - shoulder past stop light at Michigan Boulevard.  Hiked another .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105682 - miles and turned left onto Pine Hollow, which bends severely left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105683 - causing heading South-East.  Continued .25 mile nearly to Discovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105684 - Way - about 100% smooth asphalt surface with favorable conditions for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105685 - healing and preventing feet and knee injuries.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105686 - hiked back.  Tunred left onto Campus Drive hiking 1 mile West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105687 - 3% against 20 mph wind.  Road bends North, at Ygnacio did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105688 - well, including right knee PL 4.  Did not turn around and hike to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105689 - college - omitted 5 miles through parking lots.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105690 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105691 - past Crystal Ranch Road uphill 3% grade .5 miles against wind 07 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105692 - Crossed Cowell at stop light.  Did not hike to summit and back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105693 - Turned right onto Cowell heading North .25 miles using asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105694 - shoulder downhill 5% grade then flat grade .25 miles, then .5 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105695 - narrow shoulder against oncoming commute traffic.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105696 - Treat hiking West .25 miles back to Cuneo, then home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105697 - 11 time 1355 temp 70, wind 07, bloating PL 4, energy deficit PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105698 - feet metatarsalgia PL 3, left foot #1 edge PL 0, #5 edge PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105699 - foot #1 fracture PL 0, #5 PL 2, top #345 PL 0, burning sensation PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105700 - shin splints PL 0, left knee PL 0, right knee PL 4, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105701 - 0.  EKG sinus with minor artifact, Kardia reported HR 105 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105702 - looks mostly uniform - see below. ref SDS 0 U2TK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105709 -  ..
105710 - Kardia recorded HR 051 at 0959, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105711 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105712 - likely no AFL after hiking 17 miles temp 71, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105713 - D9TX, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105714 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105715 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105716 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105719 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105720 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260917-ecg-095932_mile_00_058_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105728 -  ..
105729 - Polar HR GPS study --- was not performed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105730 - ..
105731 -                                                                                                                                                                                                                                                                                                              x
105732 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105733 -                                                 x      x                           w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105734 -                     x      x                    x                                  w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105735 -       Date          260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 250512 25051  
105736 -       Miles            11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15     27  
105737 -       HR AVG           no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109    112  
105738 -  **     MAX          report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124    130  
105739 -         Min          Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57     59  
105740 -       El Climb Ft    failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478    478  
105741 -       Temp Max                71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65     71  
105742 -       Wind Max                21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19     21  
105743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105747 -  ..
105748 - End hike EKG at mile 11, time 1355 HR 105 temp 70, wind 07 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105749 - EKG reported Tachycardia... looks like sinus mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105750 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105753 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105754 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260917-ecg-135546_mile_11_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105760 -  ..
105761 - Polar seems to have lost data for 260817....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105763 -  ..
105764 - Post hike HR profile beginning 2101, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105765 - hiking 17 miles with temperature  71, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105766 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105767 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105768 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105769 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105772 -        ..
105773 -       Date      260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709  260708    
105774 -       Time       data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007    2009     
105775 -       Hours      lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8      11     
105776 -       HR AVG               64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52      57     
105777 -       HR MAX              131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     112     
105778 -       HR Min               37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35      38     
105779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105784 -  ..
105785 - Breakfast - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105786 - Lunch - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105787 - Dinner - steak macaroni cheese onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105789 -  ..
105790 - Vomiting: 0% - bloating PL 0  seems more pliable hurts less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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105796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105841 -         ..
105842 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105843 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105844 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105845 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105846 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105847 -  132.  260918 0117............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105848 -               0120....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105849 -               0120....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
105850 -               0120....BP HR..................................................... 161  76  67  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105851 -               0125....BP HR..................................................... 162  79  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105852 -               0130....BP HR..................................................... 145  85  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105853 -               0135....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105854 -               0330....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105855 -               0330....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
105856 -               0330... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105857 -               0000....Banana half instead of Avocado to increase HDL - 1/2 small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105858 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105859 -               0330....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105860 -               0340....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105861 -               0000... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105862 -               0000....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
105863 -               0000...
105864 -  ..
105865 -               0350....miles...........  14.0  42.0  243   710 minutes  temp  58 wind 06  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105866 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105867 -               0525....mile 06 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105868 -               0525....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105869 -               0525... Magnesium 300 mg 1 Pill mile 10 - hike uphill 8% grade last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105870 -               0525... CoQ10 100 mg Ubiquinol took 1 Pill mile 10 - hike uphill 8% grade last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105871 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
105872 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105873 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105874 -               0000... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105875 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105876 -               0703... Hike ends mile 12...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105877 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105878 -               1640....weight.................................... 183  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105879 -               1645....BP HR..................................................... 150  77 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105880 -               1650....BP HR..................................................... 124  75  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105881 -               1655....BP HR..................................................... 131  71  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105882 -               0000...
105883 -  ..
105884 -               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                                                                                                                                                                                                                                                                                  
105885 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
105886 -               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                                                                                                                                                                                                                                                                                                                                                                                   
105887 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105888 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105889 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105890 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105891 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105892 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105893 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105894 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105897 -  ..
105898 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105899 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105901 -  ..
105902 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105903 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105904 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105905 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105906 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105907 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105909 -  ..
105910 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105911 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105913 -  ..
105914 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105915 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105917 -  ..
105918 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105919 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105923 -  ..
105924 - Summary... before starting had nutrition hydration and meds for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105925 - in car; but forgot to bring liquid CoQ10 and Turmeric Curcumin.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105926 - only beyond De Young - turned around at mile 6, instead of on Stanyon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105927 - Right knee not too bad - PL 4 going out.  Hiked back uphill on Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105928 - Highway to Cliff House and then on Point Lobos back to hospital went                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105929 - better than before - no stopping to rest, and breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105930 - entire way back; no dyspena.  Big improvement.  Hiking with new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105931 - orthotic inserts received from Doctor Hewitson on 260727, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105932 - Fitville Rebound Core V1 Size 10.5 width 6E shoes caused minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105933 - lateral pressure on edges of #1s and #5s, with moderate pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105934 - top of #4s and #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105940 -         ..
105941 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105942 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105943 -        Stomach pain bloating unstable ANS...........   2         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
105944 -        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                                                                                                                                                                                                                                                                                                                                                                                         
105945 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105946 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105947 -        Chest pain...................................   3         10  occurred for 20 minutes - about 10 before arriving home, and 10 after arriving and before eating anything today, so likely not esophageal pressure on heart                                                                                                                                                                                                                                                                                                                                                                                  
105948 -        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                                                                                                                                                                                                                                                                                                                           
105949 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105950 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105951 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105952 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105953 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
105954 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105955 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
105956 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105957 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
105958 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105959 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105960 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105961 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105962 -        Knee left meniscus...PRP 210705..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen 599 mg mile 0 and 1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                         
105963 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105964 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105965 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105966 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105967 -        Knee right meniscus PRP 190816...............   4         60  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105968 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105969 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105970 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105971 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105972 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105973 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105974 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105975 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105976 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105977 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105978 -        Metatarsalgia left foot...PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105979 -        Metatarsalgia right foot..PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105980 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105981 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
105982 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105983 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105984 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
105985 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
105986 -        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                                                                                                                                                                                                                                                                                                                           
105987 -        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                                                                                                                                                                                                                                                                                                                                                                                    
105988 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105989 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
105990 -        Callus big toe left foot.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105991 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105992 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105993 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
105994 -        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                                                                                                                                                                                                                                                                                                                                           
105995 -        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                                                                                                                                                                                                                                                                                                                                           
105996 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105997 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105998 -        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                                                                                                                                                                                                                                                                                                                                                                                        
105999 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
106000 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
106001 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106002 -        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                                                                                                                                                                                                                                                                                                                                                              
106003 -        Callus little toe #5 left foot...PRP 210705..   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106004 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
106005 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106006 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106007 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
106008 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106009 -        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                                                                                                                                                                                                                                                                                          
106010 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
106011 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106012 -        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                                                                                                                                                                                                                                                                                                                                                                               
106013 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106014 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106015 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106016 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106017 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106018 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106019 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106020 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
106021 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106022 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106026 -  ..
106027 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106028 - Fitville Rebound Core V1 Size 10.5 width 6E received on 260414 1105.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106029 - ref SDS C1 6DG1, and replacing Hoka Clifton 11 shoes size 11.5 width                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106030 - 4E, received on 260816 1511, ref SDS D1 EQ7K  Good hike mostly PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106031 - Poor cushioning metatarsalgia PL 3.  Did not use toe caps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106033 -  ..
106034 - Orthotic inserts - switched from Stable Elite to 1st of 2 sets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106035 - Powerstep Protech Classic Thin received from Doctor Hewitson at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106036 - Podiatry on 260727 0900. ref SDS C8 LJHN  Worked well with Fitville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106037 - Rebound Core V1 shoes today. Like 2nd set of Powerstep worn past 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106038 - days, the 1st set relieved pressure on metatarsals.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106040 -  ..
106041 - Callus Injuries - wider 6E shoes reduced lateral pressure yielded PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106042 - 0-2 entire hike, noticable improvement.  Did not need toecaps.  Bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106043 - blister that occurred at mile 10 on right foot below #1, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106044 - 260908, per above. ref SDS 0 CF6T, has resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106046 -  ..
106047 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106048 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106049 - Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106054 -  ..
106055 - San Francisco 12 mile route, reported on 170519, ref SDS 9 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106056 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106057 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106058 - injection 16 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106059 - and also left hip, which flares few times a month, as on 260814.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106060 - 1 Naproxen 500 mg (switched back from Tramadol, because received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106061 - refill requested on 260907 1043. ref SDS D6 4N6O) for pain management.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106062 - No metatarsalgia pain in feet starting hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106063 - and #5 calluses PL 0 - were shaved down by Doctor Tang in VAMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106064 - Podiatry on 260730 0900, ref SDS C9 5H6F, and now pending treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106065 - again on 260910 1100.  Left foot #1 #5 calluses growing again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106066 - possibly more slowly; but, less lateral pressure wearing Fitville 6E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106067 - wide shoes, so did not wear toe caps today, per above. ref SDS 0 7B9C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106068 - Took 4 Magnesium Complex 300 mg pills for cellular energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106069 - lactic acid, and reducing inflammation, all to enable hiking that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106070 - increases HDL and EPCs, which together regress plaque in blood vessels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106071 - - see research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106072 - for energy - CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106073 - electron transport chain (ETC) giving human cells energy, and protects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106074 - heart tissue from harmful free radicals and stress - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106075 - 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106076 - to resolve inflammation, essential for HDL to rise - see again case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106077 - study on 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106078 - at a time) and whole combined with bites of banana, because out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106079 - avocado - pills slip through LESV easier when swallowed combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106080 - food chewed to a slurry combined with carbonated softdrink.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106081 - take liquid Turmeric Curcumin and Ubiquinol CoQ10, because forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106082 - bring, all per above. ref SDS 0 JF6T  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106083 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106084 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106085 - fibrillation (arrhythmia - variable heart rate from dysfunctional ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106086 - following 6th cardiac ablation on 240611) see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106087 - 0701. ref SDS 21 O33H  Did not take backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106088 - build conditioning for Half Dome - because extra weight increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106089 - pressure that causes feet injuries, e.g., calluses.  Temperature mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106090 - 57 and mile Southerly wind 07 mph.  Departed VAMCSF campus in dark at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106091 - 0330.  Hiked slowly downhill on 42nd Street to warm up, and to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106092 - increasing injury to right knee.  Turned corner heading downhill West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106093 - on Point Lobos to Cliff House at mile 1.  Road bends and changes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106094 - "Great Highway" going South along ocean beach.  Pace picked up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106095 - CoQ10 and magnesium was digested and increased strength.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106096 - turned onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106097 - Maintained pace going slightly uphill into the park for .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106098 - Turned corner and continued East on JFK.  Dark and with few widely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106099 - spaced street lights, cannot see the road.  Actually, seemed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106100 - morning there were fewer street lights active this morning.  Maybe the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106101 - city is saving money.  Passed Buffalo compound, then Spreckles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106102 - Encountered early morning jogger going West but now much slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106103 - walking instead of jogging - just said hello.  Hiked past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106104 - Meadow.  Still nobody else in the park.  Passed Helman Hollow.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106105 - feet pain level 1.  Hiked under bridge at Crossover Drive (part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106106 - highway 1 that goes to Golden Gate Bridge). - JFK is blocked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106107 - vehicle traffic the rest of the way through the park to Stanyon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106108 - limiting attendance to keep people separated that minimizes spreading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106109 - coronavirus.  Now that the epidemic has been declared over, the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106110 - continues to deny people who like driving through the park, like me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106111 - and Millie did.  Hiked past De Young Museum and stopped at mile 6 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106112 - 0525, temp 56, wind 03; EKG mostly uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106113 - Kardia reported HR 093 Normal Sinus Rhythm, reflects slow pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106114 - avoid worsening right knee injury - see below. ref SDS 0 GHFX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106115 - Bloating PL 4, energy deficit PL 0, wobbly PL 0, after taking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106116 - Naproxen 500 mg starting hike; feet metatarsalgia PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106117 - sensation PL 2, left foot #1 PL 0 and #5 PL 0, right foot #1 PL 0, #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106118 - PL 0, #5 PL 0, left knee PL 0, right knee PL 3.  Took 1 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106119 - Took 1 Magnesium.  Took 1 CoQ10.  No softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106120 - hydration, swallowing meds and nutrition, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106121 - 6EMU  Turned around hiked back on JFK, heading West toward the Ocean.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106122 - Stayed on South side against traffic (no actual vehicle traffic in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106123 - park).  About mile 8, no Waterfall this morning 2 hours before 0710,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106124 - near passing under Crossover Road bridge at highway 1.  Hiked past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106125 - Hellman Hollow and Lindley Meadow, then past Spreckles Lake and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106126 - Buffalo compound.  Finally reached the ocean.  Turned North onto Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106127 - Highway.  Hiked parallel to Ocean Beach toward the Cliff House and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106128 - hospital.  Halfway to Cliff House took 1 Magnesium 300 mg pill, and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106129 - CoQ10 pill for energy.  Pace slowed hiking up steep hill - 5% - 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106130 - grade - did not stop, and maintained breathing without dyspnea today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106131 - i.e., did not breath through mouth.  At Cliff House, turned onto Point                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106132 - Lobos going East; hiked uphill for 1 mile to hospital.  Did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106133 - shortness of breath (dyspnea), breathing through mouth about 75% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106134 - the way, that occurred hiking on 240829. ref SDS 39 QTSP  Seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106135 - conflicting with not hiking Crystal Ranch Road in Concord the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106136 - days, and missing all hikes past 7 days.  Did not become progressively                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106137 - weaker, so did not need another magnesium pill to prevent buildup of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106138 - lactic acid.  Turned onto 42nd street and hiked up final hill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106139 - VA campus.  Ended hike mile 12, time 0708 temp 57, wind 03, bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106140 - PL 4, energy deficit PL 4, feet metatarsalgia PL 3, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106141 - PL 2, left foot #1 PL 0, #5 PL 0.  Right foot #5 PL 0, and #1 PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106142 - Both ankles PL 0.  Left knee meniscus PL 1, right knee PL 4.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106143 - sinus with moderate artifact, Kardia reported HR 115 Tachycardia looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106144 - mostly uniform - see below. ref SDS 0 RG9I  After hike, walked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106145 - through hospital for various tasks, added 2 miles to distance, total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106146 - 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106155 -  ..
106156 - Kardia recorded HR 055 at 0150, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106157 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106158 - likely no AFL after hiking 17 miles temp 71, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106159 - KQ4E, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106160 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106161 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106162 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106165 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106166 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260918-ecg-015016_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106175 -  ..
106176 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106177 - California, hike 12 miles with max temperature 58, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106178 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106180 -  ..
106181 - After hike GPS/HR Polar system off, walked 2 miles through hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106182 - for tasks, total Samsung mileage 14.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106183 - ..
106184 -                                                                                                                                                                                                                                                                                                              x
106185 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106186 -                                                 x      x                           w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106187 -                     x      x                    x                                  w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106188 -       Date          260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 260703 260702 260701 ------ 25051  
106189 -       Miles            12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0     13     21            15  
106190 -       HR AVG          106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no    116    121           109  
106191 -  **     MAX           143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report report  141    152           124  
106192 -         Min            70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                          81     64            57  
106193 -       El Climb Ft     565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                         226    562           478  
106194 -       Temp Max         58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                          58     80            65  
106195 -       Wind Max         06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                          17     12            19  
106196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106199 -              https://flow.polar.com/training/analysis/8423234049                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106202 -               ..
106204 -   
106205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106209 -  ..
106210 - EKG at mile 06 time 0525, HR 093 BPM, temp 56, wind 03; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106211 - reported Normal Sinus Rhythm... heart rate looks uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106212 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106215 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106216 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260918-ecg-052522_mile_06_093_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106220 -  ..
106221 - End hike EKG at mile 12, time 0708 HR 115 temp 57, wind 03 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106222 - EKG reported Tachycardia... looks like sinus mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106223 - moderate artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106224 - ref SDS 21 TSYT  After hike GPS/HR Polar system off, walked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106225 - through hospital for tasks, total Samsung mileage 14.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106228 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106229 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260918-ecg-070815_mile_12_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106234 -  ..
106235 - Post hike HR profile beginning 1931, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106236 - hiking 14 miles with temperature  58, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106237 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106238 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106239 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106240 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106243 -        ..
106244 -       Date      260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710  260709    
106245 -       Time       1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940    0007     
106246 -       Hours        12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11       8     
106247 -       HR AVG       63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63      52     
106248 -       HR MAX      117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     105     
106249 -       HR Min       37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37      35     
106250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106253 -              https://flow.polar.com/training/analysis/8423710714                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106256 -  ..
106257 - HRV seems 50% 0 and  25% good and  25% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106261 -   
106262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106265 -  ..
106266 - Breakfast - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106267 - Lunch - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106268 - Dinner - steak macaroni cheese onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106270 -  ..
106271 - Vomiting: 0% - bloating PL 3  seems less pliable hurts less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106323 -         ..
106324 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106325 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106326 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106327 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106328 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106329 -  132.  260919 0655............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106330 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106331 -               0620....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
106332 -               0620....BP HR..................................................... 165  71  74  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106333 -               0625....BP HR..................................................... 155  76  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106334 -               0630....BP HR..................................................... 165  71  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106335 -               0635....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106336 -               0000...
106337 -  ..
106338 -               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                                                                                                                                                                                                                                                                                  
106339 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106340 -               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                                                                                                                                                                                                                                                                                                                                                                                   
106341 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106342 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106343 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106344 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106345 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106346 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106347 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106348 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106351 -  ..
106352 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106353 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106355 -  ..
106356 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106357 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106358 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106359 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106360 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106361 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106363 -  ..
106364 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106365 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106367 -  ..
106368 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106369 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106371 -  ..
106372 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106373 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106379 -  ..
106380 - Kardia recorded HR 066 at 1700, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106381 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106382 - likely no AFL after hiking 14 miles temp 58, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106383 - JF6T, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106384 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106385 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106386 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106389 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106390 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260919-ecg-170004_mile_00_066_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106394 -  ..
106395 - Post hike HR profile beginning 2147, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106396 - hiking 00 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106397 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106398 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106399 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106400 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106403 -        ..
106404 -       Date      260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711  260710    
106405 -       Time       2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050    1940     
106406 -       Hours         9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11      11     
106407 -       HR AVG       62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62      63     
106408 -       HR MAX      142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     101     
106409 -       HR Min       38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39      37     
106410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106413 -              https://flow.polar.com/training/analysis/8424350708                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106416 -  ..
106417 - HRV seems 10% 0 and  50% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106421 -   
106422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106425 -  ..
106426 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106427 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106428 - Dinner - steak macaroni cheese onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106430 -  ..
106431 - Vomiting: 0% - bloating PL 4  seems less pliable hurts less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106484 -         ..
106485 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106486 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106487 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106488 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106489 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106490 -  132.  260920 0825............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106491 -               0820....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106492 -               0820....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
106493 -               0825....BP HR..................................................... 179  69  50  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106494 -               0830....BP HR..................................................... 158  74  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106495 -               0835....BP HR..................................................... 172  84  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106496 -               0840....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106497 -               0000...
106498 -  ..
106499 -               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                                                                                                                                                                                                                                                                                  
106500 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106501 -               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                                                                                                                                                                                                                                                                                                                                                                                   
106502 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106503 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106504 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106505 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106506 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106507 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106508 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106509 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106512 -  ..
106513 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106514 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106516 -  ..
106517 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106518 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106519 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106520 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106521 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106522 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106524 -  ..
106525 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106526 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106528 -  ..
106529 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106530 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106532 -  ..
106533 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106534 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106538 -  ..
106539 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106541 -  ..
106542 - Kardia recorded HR 066 at 1700, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106543 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106544 - likely no AFL after hiking 14 miles temp 58, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106545 - JF6T, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106546 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106547 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106548 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106551 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106552 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260919-ecg-170004_mile_00_066_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106556 -  ..
106557 - Post hike HR profile beginning 1939, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106558 - hiking 00 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106559 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106560 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106561 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106562 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106565 -        ..
106566 -       Date      260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712  260711    
106567 -       Time       1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314    2050     
106568 -       Hours        11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8      11     
106569 -       HR AVG       61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70      62     
106570 -       HR MAX      122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     122     
106571 -       HR Min       37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41      39     
106572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106575 -              https://flow.polar.com/training/analysis/8424936620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106578 -  ..
106579 - HRV seems 10% 0 and  50% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106583 -   
106584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106587 -  ..
106588 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106589 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106590 - Dinner - steak macaroni cheese onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106592 -  ..
106593 - Vomiting: 0% - bloating PL 4  seems less pliable hurts more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106647 -         ..
106648 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106649 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106650 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106651 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106652 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106653 -  132.  260921 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106654 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106655 -               0710....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
106656 -               0715....BP HR..................................................... 165  71  52  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106657 -               0710....BP HR..................................................... 164  77  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106658 -               0715....BP HR..................................................... 145  76  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106659 -               0710....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106660 -               0000...
106661 -  ..
106662 -               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                                                                                                                                                                                                                                                                                  
106663 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106664 -               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                                                                                                                                                                                                                                                                                                                                                                                   
106665 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106666 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106667 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106668 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106669 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106670 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106671 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106672 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106675 -  ..
106676 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106677 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106679 -  ..
106680 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106681 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106682 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106683 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106684 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106685 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106687 -  ..
106688 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106689 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106691 -  ..
106692 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106693 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106695 -  ..
106696 - Reflux slept in bed 100%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106697 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106703 -  ..
106704 - Kardia recorded HR 053 at 0947, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106705 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106706 - likely no AFL after hiking 14 miles temp 58, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106707 - JF6T, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106708 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106709 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106710 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106713 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106714 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260921-ecg-094713_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106719 -  ..
106720 - Post hike HR profile beginning 2034, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106721 - hiking 00 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106722 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106723 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106724 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106725 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106728 -        ..
106729 -       Date      260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713  260712    
106730 -       Time       2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011    2314     
106731 -       Hours        12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12       8     
106732 -       HR AVG       66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67      70     
106733 -       HR MAX      119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     123     
106734 -       HR Min       38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39      41     
106735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106738 -              https://flow.polar.com/training/analysis/8425727166                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106741 -  ..
106742 - HRV seems 20% 0 and  60% good and  20% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106746 -   
106747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106750 -  ..
106751 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106752 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106753 - Dinner - steak potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106755 -  ..
106756 - Vomiting: 0% - bloating PL 1 more pliable hurts less but got worse through the day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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106789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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106794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106810 -         ..
106811 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106812 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106813 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106814 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106815 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106816 -  132.  260922 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106817 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106818 -               0730....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
106819 -               0735....BP HR..................................................... 153  81  49  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106820 -               0740....BP HR..................................................... 153  75  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106821 -               0745....BP HR..................................................... 157  75  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106822 -               0750....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106823 -               1210....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106824 -               1210....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
106825 -               1210... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106826 -               1210....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106827 -               1210....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106828 -               1210....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106829 -               1230....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106830 -               1230... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106831 -               1230....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
106832 -               0000...
106833 -  ..
106834 -               1245....miles...........  13.0  13.0  225   225 minutes  temp  80 wind 07  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106835 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106836 -               0000....mile 06 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106837 -               0000....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106838 -               1530... Magnesium 300 mg 1 Pill mile 10 - hike uphill 8% grade last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106839 -               1530... CoQ10 100 mg Ubiquinol took 1 Pill mile 10 - hike uphill 8% grade last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106840 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
106841 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106842 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106843 -               1530... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106844 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106845 -               1642... Hike ends mile 13... ref SDS 0 GJF9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106846 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106847 -               1650....weight.................................... 183  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106848 -               1655....BP HR..................................................... 150  77 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106849 -               1700....BP HR..................................................... 124  75  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106850 -               1705....BP HR..................................................... 131  71  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106851 -               0000...
106852 -  ..
106853 -               1705... 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                                                                                                                                                                                                                                                                                  
106854 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106855 -               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                                                                                                                                                                                                                                                                                                                                                                                   
106856 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106857 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106858 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106859 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106860 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106861 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106862 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106863 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106866 -  ..
106867 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106868 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106870 -  ..
106871 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106872 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106873 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106874 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106875 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106876 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106878 -  ..
106879 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106880 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106882 -  ..
106883 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106884 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106886 -  ..
106887 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106888 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106892 -  ..
106893 - Summary... bloating PL 2 maybe improved but still difficult.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106894 - elevated 80, was helpful.  Hiked 75% normal pace and avoided steepest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106895 - grades, > 4%, to exercise and heal, but not stress hyperextended right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106896 - knee.  Did not start early enough to hike full 8-mile loop Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106897 - Ranch Road.  Good results wearing narrower Hoka Clifton 11 width 4E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106898 - shoes, resulted in more lateral pressure, excellent rebound energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106899 - made hiking easier.  Switching back to Naproxen from Tramadol was big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106900 - improvement - no neurological deficits - degrading pace, wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106901 - veering that occurred taking Tramadol.  Shortened hike to 13 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106902 - avoid stressing right knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106906 -         ..
106907 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106908 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106909 -        Stomach pain bloating unstable ANS...........   2         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
106910 -        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                                                                                                                                                                                                                                                                                                                                                                                         
106911 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106912 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106913 -        Chest pain...................................   3         10  occurred for 20 minutes - about 10 before arriving home, and 10 after arriving and before eating anything today, so likely not esophageal pressure on heart                                                                                                                                                                                                                                                                                                                                                                                  
106914 -        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                                                                                                                                                                                                                                                                                                                           
106915 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106916 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106917 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106918 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106919 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
106920 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106921 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
106922 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106923 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
106924 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106925 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106926 -        Shin splint pain both legs...................   3         10  only right leg after hike for about 4 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106927 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106928 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin knee not hurting beginning of hike, took 1 Naproxen 500 mg mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
106929 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106930 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106931 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106932 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106933 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106934 -        Knee right hyperextension....................   3        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106935 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106936 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106937 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106938 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106939 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106940 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106941 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106942 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106943 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106944 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106945 -        Metatarsalgia left foot...PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106946 -        Metatarsalgia right foot..PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106947 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106948 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
106949 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106950 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106951 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
106952 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
106953 -        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                                                                                                                                                                                                                                                                                                                           
106954 -        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                                                                                                                                                                                                                                                                                                                                                                                    
106955 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106956 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
106957 -        Callus big toe left foot.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106958 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106959 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106960 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
106961 -        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                                                                                                                                                                                                                                                                                                                                           
106962 -        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                                                                                                                                                                                                                                                                                                                                           
106963 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106964 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106965 -        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                                                                                                                                                                                                                                                                                                                                                                                        
106966 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
106967 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
106968 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106969 -        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                                                                                                                                                                                                                                                                                                                                                              
106970 -        Callus little toe #5 left foot...PRP 210705..   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106971 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
106972 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106973 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106974 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
106975 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106976 -        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                                                                                                                                                                                                                                                                                          
106977 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
106978 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106979 -        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                                                                                                                                                                                                                                                                                                                                                                               
106980 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106981 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106982 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106983 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106984 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106985 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106986 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106987 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
106988 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106989 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106993 -  ..
106994 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106995 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106996 - ref SDS D1 EQ7K and replacing new Fitville Rebound Core V1 Size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106997 - width 6E received on 260414 1105. ref SDS C1 6DG1, Good hike mostly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106998 - 0.  Good cushioning metatarsalgia PL 0.  Did not use toe caps. Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106999 - slight lateral pressure left foot #5 edge.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107001 -  ..
107002 - Orthotic inserts - switched from Stable Elite to 1st of 2 sets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107003 - Powerstep Protech Classic Thin received from Doctor Hewitson at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107004 - Podiatry on 260727 0900. ref SDS C8 LJHN  Worked well with Fitville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107005 - Rebound Core V1 shoes today. Like 2nd set of Powerstep worn past 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107006 - days, the 1st set relieved pressure on metatarsals.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107008 -  ..
107009 - Callus Injuries - wider 6E shoes reduced lateral pressure yielded PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107010 - 0-2 entire hike, noticable improvement.  Did not need toecaps.  Bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107011 - blister that occurred at mile 10 on right foot below #1, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107012 - 260908, per above. ref SDS 0 CF6T, has resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107014 -  ..
107015 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107016 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107017 - Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107022 -  ..
107023 - Concord 13 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107024 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107025 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107026 - and also left hip, which flares few times a month, as 3 days ago on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107027 - 260814.  Took 1 Naproxen 500 mg for pain management - cut in half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107028 - aid swallowing, there is no metatarsalgia pain in feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107029 - today, and both feet #1 and #5 calluses both PL 0 - were shaved down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107030 - by Doctor Tang in VAMC Podiatry on 260730 0900, ref SDS C9 5H6F; left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107031 - foot #1 #5 calluses growing again, possibly more slowly.  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107032 - Magnesium Complex 300 mg pills for cellular energy, absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107033 - acid, and reducing inflammation, all to enable hiking that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107034 - HDL and EPCs, which together regress plaque in blood vessel - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107035 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107036 - energy - CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107037 - electron transport chain (ETC) giving human cells energy, and protects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107038 - heart tissue from harmful free radicals and stress - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107039 - 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107040 - to resolve inflammation, essential for HDL to rise - see again case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107041 - study on 200101 0701. ref SDS 21 NKSY  Swallowed pills separately (1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107042 - at a time) and whole combined with small amount avocado, mayonaise,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107043 - peanut butter and margarine - pills slip through LESV easier when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107044 - swallowed combined with food chewed to a slurry combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107045 - carbonated softdrink.  About 20 minutes later, after dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107046 - hike, took liquid Turmeric Curcumin and Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107047 - ref SDS 0 EJ2P  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107048 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107049 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107050 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107051 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107052 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107053 - injuries, e.g., calluses.  Did mile loop around the block to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107054 - hike, which identifies bloating and feet wound issues that can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107055 - treated, before problems arise miles from home.  Maintained speed 75%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107056 - normal pace to avoid stressing hyperextended right knee.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107057 - .25 mile and turned left, onto Treat - was hiking well immediately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107058 - due in part to new Hoka Clifton 11 shoes with much better than average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107059 - rebound energy.  Steady hiking caused HDL 65 on 260302, but pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107060 - lowered to HDL 51 on 260727; daily hiking for next 10 days, elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107061 - lipids back to HDL 55 on 260806 0901. ref SDS D0 UE6H  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107062 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107063 - sustained, despite mostly on-and-off hiking last few months, and have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107064 - not been hiking Crystal Ranch Road, resulting in dyspnea hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107065 - uphill to Cliff House and on Point Lobos returning to hospital, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107066 - above on 260727. ref SDS 0 9SAH  Started hike in morning OA 0912, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107067 - temperature at 66, and reached 97.  East wind 15 mph and mostly 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107068 - mph.  Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107069 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107070 - some places 3% uphill, and very light traffic.  Maintained normal pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107071 - 15 minute miles.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107072 - today.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107073 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107074 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107075 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107076 - complex.  Stopped at Lucky store to buy banana with potassium that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107077 - complements meds for energy, and aids swallowing meds to slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107078 - tightening LESV, pending EGD dilation on 260821.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107079 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107080 - maintained - no need to stop at Mountain Mike's Pizza restaurant to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107081 - take meds for energy deficit caused by dysfunctional ANS.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107082 - right going West on Ygnacio Valley Road still using concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107083 - .5 miles.  Continued past Park Highlands Road at traffic stoplight and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107084 - heading West .25 miles on very narrow asphalt shoulder next to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107085 - risk heavy morning commute traffic.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107086 - Valley Road hiking on wider shoulder past stoplight at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107087 - Boulevard.  Hiked another .25 miles to Chevron gas station and store.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107088 - At mile 7, turned left onto Pine Hollow, - hiked East 2.5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107089 - end of Pine Hollow turned around and hiked back.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107090 - Ygnacio Valley Road and hiked .25 mile.  Turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107091 - Stopped at Chevron gas station store mile 12, time 1242, temp 81 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107092 - wind 12 mph; EKG looks mostly uniform with no artifact, but some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107093 - possible irregularity, Kardia reported HR 117 Tachycardia, - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107094 - below. ref SDS 0 VKUN  Bloating PL 5, energy deficit PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107095 - metatarsalgia PL 0.  Left foot #1 PL - and #5 PL -.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107096 - 0; top of #3, #4, #5 PL 0 - feels much better today, than past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107097 - weeks.  Took 1 Naproxen 500 mg total today 2 for pain.  Took only 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107098 - Magnesium complex 300 mg pills - total today 6.  Took 2 Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107099 - Curcumin 2250 mg - total today 4.  Difficulty swallowing meds with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107100 - bites of banana and sips of softdrink, as on 260806; esophagus was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107101 - filling up, but able to take 2 CoQ10 pills - total today 4 - to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107102 - increase energy.  Sips softdrink purchased from Chev store for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107103 - hydration and swallowing nutrition - banana purchased at Lucky store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107104 - enables swallowing medication pills combined with bites of banana to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107105 - slip through LESV now contracted due to achalasia, pending dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107106 - procedure scheduled on 260821.  Took Ubiquinol CoQ10 0.6 ml liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107107 - HDL and energy to finish hike.  Took Nuun electrolyte pill, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107108 - above. ref SDS 0 74I7  Was beginning to aspirate from build up above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107109 - LESV.  Continued hike heading East on Ygnacio again, carrying the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107110 - softdrink to sip while swallowing the electrolyte pill.  After about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107111 - .5 mile turned around at Michigan Boulevard and hiked back to Chevron.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107112 - Turned onto Pine Hollow hiking 1.5 mile East.  At Pennsylvania                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107113 - Boulevard turned around and went back, and turned left heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107114 - Campus Drive.  Continued 1 mile West uphill 3% grade against wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107115 - mph.  The road bends North.  Crossed Ygnacio Valley Road at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107116 - light.  Hiked North downhill on Ayers.  Road bends East, at mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107117 - turned left onto Turtle Creek Road.  Hiked 2 miles North on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107118 - Creek Road.  At mile 12, turned left onto Treat heading West.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107119 - Continued 1 mile against heavy commute traffic, and crossed Cowell at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107120 - stop light.  Turned onto Cuneo.  Ended hike mile 13 time 1642 temp 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107121 - wind 07; Both feet metatarsalgia PL 0 and left foot #1 PL 0, #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107122 - right foot #5 PL 0, top #345 PL 0.  Left knee meniscus PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107123 - knee meniscus PL 0, hyperextended PL 4, possible cruciate ligament PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107124 - 4??  EKG looks perfectly uniform with no artifact.  Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107125 - 120 Tachycardia, see below. ref SDS 0 GJF9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107131 -  ..
107132 - Kardia recorded HR 053 at 1049, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107133 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107134 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107135 - 9TQF, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107136 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107137 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107138 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107141 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107142 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260922-ecg-104900_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107149 -  ..
107150 - Polar HR GPS study *** low accuracy GPS used *** in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107151 - California, hike 13 miles with max temperature 80, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107152 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107154 - ..
107155 -                                                                                                                                                                                                                                                                                                              x
107156 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107157 -                                                 x      x                           w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107158 -                     x      x                    x                                  w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107159 -       Date          260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 260705 260704 26070  
107160 -       Miles            13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0      0      0  
107161 -       HR AVG          118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no     no     no  
107162 -  **     MAX           136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   report report repo  
107163 -         Min            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82                       
107164 -       El Climb Ft     425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604                       
107165 -       Temp Max         80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80                       
107166 -       Wind Max         07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15                       
107167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107170 -              https://flow.polar.com/training/analysis/8425998733                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107173 -               ..
107175 -   
107176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107179 -  ..
107180 - End hike EKG at mile 13, time 1642 HR 120 temp 80, wind 07 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107181 - EKG reported Tachycardia... looks like sinus mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107182 - moderate artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107183 - ref SDS 21 TSYT  After hike GPS/HR Polar system off, walked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107184 - through hospital for tasks, total Samsung mileage 14.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107187 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107188 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260922-ecg-164235_mile_13_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107193 -  ..
107194 - Post hike HR profile beginning 2344, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107195 - hiking 13 miles with temperature  80, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107196 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107197 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107198 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107199 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107202 -        ..
107203 -       Date      260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714  260713    
107204 -       Time       2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933    2011     
107205 -       Hours         8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12      12     
107206 -       HR AVG       66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67      67     
107207 -       HR MAX      133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     125     
107208 -       HR Min       40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37      39     
107209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107212 -              https://flow.polar.com/training/analysis/8426349908                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107215 -  ..
107216 - HRV seems 10% 0 and  60% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107220 -   
107221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107224 -  ..
107225 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107226 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107227 - Dinner - steak potato broccoli onion tomato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107229 -  ..
107230 - Vomiting: 0% - bloating PL 2 pliable hurts less voice seems closer to normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107284 -         ..
107285 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107286 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107287 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107288 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107289 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107290 -  132.  260923 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107291 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107292 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
107293 -               0725....BP HR..................................................... 162  78  57  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107294 -               0730....BP HR..................................................... 141  69  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107295 -               0735....BP HR..................................................... 165  80  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107296 -               0740....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107297 -               0000...
107298 -  ..
107299 -               1705... 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                                                                                                                                                                                                                                                                                  
107300 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
107301 -               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                                                                                                                                                                                                                                                                                                                                                                                   
107302 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107303 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107304 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107305 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107306 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107307 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107308 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107309 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107312 -  ..
107313 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107314 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107316 -  ..
107317 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107318 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107319 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107320 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107321 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107322 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107324 -  ..
107325 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107326 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107328 -  ..
107329 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107330 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107332 -  ..
107333 - Reflux slept in bed 40%, and in recliner chair 60% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107334 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107340 -  ..
107341 - Kardia recorded HR 071 at 1455, Unclassified (twice), looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107342 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107343 - AFL after hiking 00 miles temp __, per above, ref SDS 0 TLSW, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107344 - diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107345 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107346 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107347 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107350 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107351 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260923-ecg-145559_mile_00_071_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107356 -  ..
107357 - Post hike HR profile beginning 1835, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107358 - hiking 00 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107359 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107360 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107361 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107362 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107365 -        ..
107366 -       Date      260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715  260714    
107367 -       Time       1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035    1933     
107368 -       Hours         6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11      12     
107369 -       HR AVG       78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58      67     
107370 -       HR MAX      124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     121     
107371 -       HR Min       60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36      37     
107372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107375 -              https://flow.polar.com/training/analysis/8426788647                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107378 -  ..
107379 - HRV seems 20% 0 and  60% good and  20% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107383 -   
107384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107387 -  ..
107388 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107389 - Lunch - sandwich avocado tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107390 - Dinner - steak avocado onion tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107392 -  ..
107393 - Vomiting: 0% - bloating PL 4 pliable less voice seems closer to normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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107402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107447 -         ..
107448 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107449 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107450 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107451 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107452 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107453 -  132.  260924 0110............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107454 -               0110....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107455 -               0120....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
107456 -               0125....BP HR..................................................... 171  81  75  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107457 -               0130....BP HR..................................................... 155  85  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107458 -               0135....BP HR..................................................... 156  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107459 -               0140....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107460 -               0250....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107461 -               0250....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107462 -               0250....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
107463 -               0250... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107464 -               0250....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107465 -               0250....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107466 -               0250....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107467 -               0250... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107468 -               0250....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
107469 -               0000...
107470 -  ..
107471 -               0322....miles...........  14.0  27.0  236   461 minutes  temp  59 wind 02  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107472 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107473 -               0503....mile 06 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107474 -               0503....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107475 -               0503... Magnesium 300 mg 1 Pill mile 10 - hike uphill 8% grade last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107476 -               0503... CoQ10 100 mg Ubiquinol took 1 Pill mile 10 - hike uphill 8% grade last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107477 -               0503....Turmeric Curcumin 2250 mg took 1 pill loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                     
107478 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107479 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107480 -               0503... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107481 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107482 -               0703... Hike ends mile 13... ref SDS 0 AEXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107483 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107484 -               0710....weight.................................... 183  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107485 -               0710....BP HR..................................................... 138  77 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107486 -               0715....BP HR..................................................... 142  71 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107487 -               0720....BP HR..................................................... 155  77  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107488 -               0000...
107489 -  ..
107490 -               1705... 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                                                                                                                                                                                                                                                                                  
107491 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
107492 -               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                                                                                                                                                                                                                                                                                                                                                                                   
107493 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107494 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107495 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107496 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107497 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107498 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107499 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107500 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107503 -  ..
107504 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107505 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107507 -  ..
107508 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107509 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107510 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107511 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107512 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107513 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107515 -  ..
107516 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107517 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107519 -  ..
107520 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107521 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107523 -  ..
107524 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107525 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107529 -  ..
107530 - Summary... bloating PL 5 worse.  Temp lower 59, was helpful.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107531 - 80% normal pace to avoid stressing hyperextended right knee, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107532 - MRI; but, then MRI was not performed.  Good results wearing narrower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107533 - Hoka Clifton 11 width 4E shoes, resulted in more lateral pressure,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107534 - excellent rebound energy made hiking easier.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107536 -  ..
107537 - Summary... before starting had nutrition hydration and meds in car for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107538 - hiking.  Hiked only beyond De Young - turned around at mile 6, instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107539 - of on Stanyon.  Right knee PL 4 going out, slow pace.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107540 - uphill on Great Highway to Cliff House and then on Point Lobos back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107541 - hospital went well - no stopping to rest, and breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107542 - entire way back; no dyspena.  Big improvement, despite missing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107543 - past 10 days for hyperextended right knee to heal.  Hiking with new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107544 - orthotic inserts received from Doctor Hewitson on 260727, with Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107545 - Clifton 11 Size 11.5 width 4E shoes caused minimal lateral pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107546 - edges of #1s and #5s, with moderate pressure on top of #4s and #5s -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107547 - no new or worsened calluses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107552 -         ..
107553 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107554 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107555 -        Stomach pain bloating unstable ANS...........   5         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
107556 -        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                                                                                                                                                                                                                                                                                                                                                                                         
107557 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107558 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107559 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107560 -        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                                                                                                                                                                                                                                                                                                                           
107561 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107562 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107563 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107564 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107565 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
107566 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107567 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
107568 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107569 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
107570 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107571 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107572 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107573 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107574 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin knee not hurting beginning of hike, took 1 Naproxen 500 mg mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
107575 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107576 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107577 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107578 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107579 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107580 -        Knee right hyperextension....................   4        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107581 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107582 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107583 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107584 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107585 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107586 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107587 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107588 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107589 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107590 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107591 -        Metatarsalgia left foot...PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107592 -        Metatarsalgia right foot..PRP 260403.........   2         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107593 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107594 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
107595 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107596 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107597 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
107598 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
107599 -        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                                                                                                                                                                                                                                                                                                                           
107600 -        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                                                                                                                                                                                                                                                                                                                                                                                    
107601 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107602 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
107603 -        Callus big toe left foot.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107604 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107605 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107606 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
107607 -        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                                                                                                                                                                                                                                                                                                                                           
107608 -        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                                                                                                                                                                                                                                                                                                                                           
107609 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107610 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107611 -        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                                                                                                                                                                                                                                                                                                                                                                                        
107612 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
107613 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
107614 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107615 -        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                                                                                                                                                                                                                                                                                                                                                              
107616 -        Callus little toe #5 left foot...PRP 210705..   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107617 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
107618 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107619 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107620 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
107621 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107622 -        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                                                                                                                                                                                                                                                                                          
107623 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
107624 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107625 -        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                                                                                                                                                                                                                                                                                                                                                                               
107626 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107627 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107628 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107629 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107630 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107631 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107632 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107633 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
107634 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107635 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107639 -  ..
107640 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107641 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107642 - ref SDS D1 EQ7K and replacing new Fitville Rebound Core V1 Size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107643 - width 6E received on 260414 1105. ref SDS C1 6DG1, Good hike mostly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107644 - 0.  Good cushioning metatarsalgia PL 0.  Did not use toe caps. Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107645 - slight lateral pressure left foot #5 edge.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107647 -  ..
107648 - Orthotic inserts - switched from Stable Elite to 1st of 2 sets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107649 - Powerstep Protech Classic Thin received from Doctor Hewitson at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107650 - Podiatry on 260727 0900. ref SDS C8 LJHN  Worked well with Fitville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107651 - Rebound Core V1 shoes today. Like 2nd set of Powerstep worn past 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107652 - days, the 1st set relieved pressure on metatarsals.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107654 -  ..
107655 - Callus Injuries - narrower 4E shoes increased lateral pressure only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107656 - slightly on short hike, yielded PL 0-2 entire hike, noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107657 - improvement.  Did not need toecaps.  Bubble blister that occurred at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107658 - mile 10 on right foot below #1, reported on 260908, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107659 - ref SDS 0 CF6T, has resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107661 -  ..
107662 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107663 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107664 - Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107669 -  ..
107670 - San Francisco 13 mile route, reported on 170519, ref SDS 9 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107671 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107672 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107673 - injection 16 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107674 - and most recently by VA on 260911 1000. ref SDS D9 86B3  Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107675 - Chondroitin also protects left hip, which flares few times a month, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107676 - on 260814.  On arriving at the hospital, took 1 Naproxen 500 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107677 - pain management.  No metatarsalgia pain in feet starting hike today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107678 - and both feet #1 and #5 calluses PL 0 - were shaved down by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107679 - Tang in VAMC Podiatry on 260910 1100, ref SDS D8 5Q5M, and now pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107680 - treatment again on 261008 0900.  Left foot #1 #5 calluses growing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107681 - again, possibly more slowly; but, less lateral pressure wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107682 - Fitville 6E wide shoes, though today, wearing Hika Clifton 11 shoes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107683 - and did not wear toe caps today, per above. ref SDS 0 ZIHD  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107684 - Magnesium Complex 300 mg pills for cellular energy, absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107685 - acid, and reducing inflammation, all to enable hiking that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107686 - HDL and EPCs, which together regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107687 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107688 - energy - CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107689 - electron transport chain (ETC) giving human cells energy, and protects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107690 - heart tissue from harmful free radicals and stress - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107691 - 200101 0701. ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107692 - to resolve inflammation, essential for HDL to rise - see again case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107693 - study on 200101 0701. ref SDS 21 NKSY  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107694 - home for hydration and swallowing nutrition - swallowed pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107695 - separately (1 at a time) and whole combined with bites of avodado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107696 - margarine, mayonaise, peanut butter, - pills slip through LESV easier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107697 - when swallowed combined with food chewed to a slurry combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107698 - carbonated softdrink.  Took liquid Turmeric Curcumin and Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107699 - CoQ10, all per above. ref SDS 0 POTI  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107700 - starting hike from ischemic colitis caused by taking statins and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107701 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107702 - (arrhythmia - variable heart rate from dysfunctional ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107703 - cardiac ablation on 240611) see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107704 - O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107705 - conditioning for Half Dome - because extra weight increases pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107706 - that causes feet injuries, e.g., calluses.  Temperature mild 57 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107707 - Southerly wind 02 mph.  Departed VAMCSF campus in dark at 0322.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107708 - slowly downhill on 42nd Street to warm up, and to avoid increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107709 - injury to right knee.  Turned corner heading downhill West on Point                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107710 - Lobos to Cliff House at mile 1.  Road bends and changes to "Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107711 - Highway" going South along ocean beach.  Pace picked up as CoQ10 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107712 - magnesium digested and increased strength.  At mile 2, turned East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107713 - onto John F Kennedy (JFK) Drive entering Golden Gate Park.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107714 - pace going slightly uphill into the park for .5 mile.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107715 - and continued East on JFK.  Dark and with few widely spaced street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107716 - lights, cannot see the road.  Actually, seemed there were fewer street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107717 - lights active this morning.  Maybe the city is saving money.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107718 - Buffalo compound, then Spreckles Lake.  Encountered early morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107719 - jogger going West but now much slower walking instead of jogging -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107720 - just said hello.  Hiked past Lindley Meadow.  Still nobody else in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107721 - park.  Passed Helman Hollow.  Both feet pain level 1, right knee PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107722 - with Naproxen.  Hiked under bridge at Crossover Drive (part of highway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107723 - 1 that goes to Golden Gate Bridge). - JFK is blocked to vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107724 - traffic the rest of the way through the park to Stanyon, limiting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107725 - attendance to keep people separated that minimizes spreading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107726 - coronavirus.  Now that the epidemic has been declared over, the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107727 - continues to deny people who like driving through the park, like Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107728 - and did for many years.  Hiked past De Young Museum and stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107729 - Nancy Pelosi Drive across from Conservatory, mile 6 time 0503, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107730 - 59, wind 01; EKG mostly uniform with minor artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107731 - HR 104 Tachycardia, reflects slow pace to avoid worsening right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107732 - injury - see below. ref SDS 0 9UV6  Bloating PL 5, energy deficit PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107733 - 2, wobbly PL 0, after taking 1 Naproxen 500 mg starting hike; feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107734 - metatarsalgia PL 0, burning sensation PL 0, left foot #1 PL 0 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107735 - PL 2, right foot #1 PL 0, #4 PL 0, #5 PL 0, left knee PL 0, right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107736 - PL 5.  Took 1 Naproxen 500 mg.  Took 1 Magnesium 300 mg.  Took 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107737 - 100 mg.  No softdrink carried from home for hydration; today, liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107738 - CoQ10 helped swallow reduced meds and nutrition, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107739 - ref SDS 0 B9RJ  Turned around hiked back on JFK, heading West toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107740 - the Ocean.  Stayed on South side against traffic (no actual vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107741 - traffic in park).  About mile 8, no Waterfall this morning 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107742 - before 0700, near passing under Crossover Road bridge at highway 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107743 - Hiked past Hellman Hollow and Lindley Meadow, then past Spreckles Lake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107744 - and Buffalo compound.  Finally reached the ocean.  Turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107745 - Great Highway.  Hiked parallel to Ocean Beach toward the Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107746 - and hospital.  Halfway to Cliff House took 1 Magnesium 300 mg pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107747 - and swallowed 2 gulps CoQ10 liquid for energy.  Pace slowed hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107748 - hill - 5% - 6% grade - did not stop, and maintained breathing without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107749 - dyspnea today, i.e., did not breath through mouth.  At Cliff House,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107750 - turned onto Point Lobos going East; hiked uphill for 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107751 - hospital.  Did not have shortness of breath (dyspnea), breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107752 - through mouth about 75% of the way, that occurred hiking on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107753 - ref SDS 0 9SAH  Seems conflicting with not hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107754 - in Concord past few weeks, and missing most days hiking past 2 weeks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107755 - to heal hyperextended right knee.  Did not become progressively                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107756 - weaker, so did not need another magnesium pill to prevent buildup of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107757 - lactic acid.  Turned onto 42nd street and hiked up final hill to VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107758 - campus.  Ended hike mile 13, time 0703 temp 56, wind 03, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107759 - 5, energy deficit PL 2, feet metatarsalgia PL 0, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107760 - 0, left foot #1 PL 0, #5 PL 2.  Right foot #5 PL 0, and #1 PL 0.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107761 - ankles PL 0.  Left knee meniscus PL 0, right knee PL 5, pending MRI in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107762 - Radiology this morning 0730.  EKG sinus with severe artifact (another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107763 - train wreck).  Kardia reported HR 107 Tachycardia looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107764 - - see below. ref SDS 0 AEXW  After hike, walked through hospital for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107765 - various tasks, added 1 miles to distance, total 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107774 -  ..
107775 - Kardia recorded HR 054 at 0126, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107776 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107777 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107778 - YSGH, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107779 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107780 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107781 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107784 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107785 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260924-ecg-012601_mile_00_054_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107792 -  ..
107793 - Polar HR GPS study *** low accuracy GPS used *** in San Franicsco,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107794 - California, hike 14 miles with max temperature 59, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107795 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107797 - ..
107798 -                                                                                                                                                                                                                                                                                                              x
107799 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107800 -                                                 x      x                           w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107801 -                     x      x                    x                                  w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107802 -       Date          260924 260923 260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 260711 260710 260709 260708 260707 260706 26070  
107803 -       Miles            14     26     13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13      0      0      0      4     19      0  
107804 -       HR AVG          112     no    118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118     no     no     no    105    118     no  
107805 -  **     MAX           143   report  136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137   report report report  119    147   repo  
107806 -         Min            76            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91                          70     82         
107807 -       El Climb Ft     575           425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395                         115    604         
107808 -       Temp Max         59            80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91                          76     80         
107809 -       Wind Max         03            07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12                          20     15         
107810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107813 -              https://flow.polar.com/training/analysis/8427116651                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107816 -               ..
107818 -   
107819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107824 -  ..
107825 - EKG at mile 06 time 0503, HR 104 BPM, temp 59, wind 01; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107826 - reported Tachycardia... heart rate looks uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107827 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107830 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107831 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260924-ecg-050317_mile_06_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107835 -  ..
107836 - End hike EKG at mile 13, time 0703 HR 107 temp 59, wind 03 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107837 - EKG reported Tachycardia... looks like sinus mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107838 - severe artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107839 - ref SDS 21 TSYT  After hike GPS/HR Polar system off, walked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107840 - through hospital for tasks, total Samsung mileage 14.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107843 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107844 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260924-ecg-070333_mile_13_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107849 -  ..
107850 - Post hike HR profile beginning 1951, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107851 - hiking 14 miles with temperature  59, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107852 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107853 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107854 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107855 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107858 -        ..
107859 -       Date      260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716  260715    
107860 -       Time       1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958    2035     
107861 -       Hours        12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12      11     
107862 -       HR AVG       61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62      58     
107863 -       HR MAX      133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     126     
107864 -       HR Min       37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39      36     
107865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107868 -              https://flow.polar.com/training/analysis/8427646991                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107871 -  ..
107872 - HRV seems  0% 0 and  20% good and  80% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107876 -   
107877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107880 -  ..
107881 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107882 - Lunch - hamburger avocado onion tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107883 - Dinner - steak potato onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107885 -  ..
107886 - Vomiting: 0% - bloating PL 5 pliable less voice seems closer to normal actually in and out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107940 -         ..
107941 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107942 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107943 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107944 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107945 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107946 -  132.  260925 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107947 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107948 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
107949 -               0725....BP HR..................................................... 171  81  75  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107950 -               0730....BP HR..................................................... 155  85  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107951 -               0735....BP HR..................................................... 156  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107952 -               0740....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107953 -               0000...
107954 -  ..
107955 -               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                                                                                                                                                                                                                                                                                  
107956 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
107957 -               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                                                                                                                                                                                                                                                                                                                                                                                   
107958 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107959 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107960 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107961 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107962 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107963 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107964 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107965 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107968 -  ..
107969 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107970 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107972 -  ..
107973 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107974 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107975 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107976 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107977 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107978 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107980 -  ..
107981 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107982 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107984 -  ..
107985 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107986 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107988 -  ..
107989 - Reflux slept in bed 70%, and in recliner chair 30% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107990 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107996 -  ..
107997 - Kardia recorded HR 066 at 1037, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107998 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107999 - likely no AFL after hiking 14 miles temp 59, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108000 - POTI, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108001 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108002 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108003 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108006 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108007 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260925-ecg-103700_mile_00_066_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108012 -  ..
108013 - Post hike HR profile beginning 1933, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108014 - hiking  0 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108015 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108016 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108017 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108018 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108021 -        ..
108022 -       Date      260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717  260716    
108023 -       Time       1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959    1958     
108024 -       Hours        12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11      12     
108025 -       HR AVG       64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60      62     
108026 -       HR MAX      137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     121     
108027 -       HR Min       37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37      39     
108028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108031 -              https://flow.polar.com/training/analysis/8428343898                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108034 -  ..
108035 - HRV seems  0% 0 and  20% good and  80% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108039 -   
108040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108043 -  ..
108044 - Breakfast - eggs avocado cottage cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108045 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108046 - Dinner - steak potato onion asparagus tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108048 -  ..
108049 - Vomiting: 0% - bloating PL 2 pliable more voice seems reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108102 -         ..
108103 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108104 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108105 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108106 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108107 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108108 -  132.  260926 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108109 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108110 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
108111 -               0725....BP HR..................................................... 172  72  49  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108112 -               0730....BP HR..................................................... 157  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108113 -               0735....BP HR..................................................... 164  75  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108114 -               0740....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108115 -               0000...
108116 -  ..
108117 -               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                                                                                                                                                                                                                                                                                  
108118 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108119 -               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                                                                                                                                                                                                                                                                                                                                                                                   
108120 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108121 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108122 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108123 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108124 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108125 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108126 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108127 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108130 -  ..
108131 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108132 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108134 -  ..
108135 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108136 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108137 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108138 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108139 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108140 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108142 -  ..
108143 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108144 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108146 -  ..
108147 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108148 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108150 -  ..
108151 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108152 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108157 -  ..
108158 - Kardia recorded HR 066 at 1047, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108159 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108160 - likely no AFL after hiking 14 miles temp 59, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108161 - 7K2F, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108162 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108163 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108164 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108167 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108168 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260926-ecg-104700_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108174 -  ..
108175 - Post hike HR profile beginning 2100, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108176 - hiking  0 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108177 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108178 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108179 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108180 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108183 -        ..
108184 -       Date      260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718  260717    
108185 -       Time       2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113    1959     
108186 -       Hours        12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8      11     
108187 -       HR AVG       58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57      60     
108188 -       HR MAX      118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     125     
108189 -       HR Min       37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38      37     
108190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108193 -              https://flow.polar.com/training/analysis/8429158287                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108196 -  ..
108197 - HRV seems 10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108201 -   
108202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108205 -  ..
108206 - Breakfast - eggs avocado cottage cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108207 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108208 - Dinner - steak potato onion asparagus tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108210 -  ..
108211 - Vomiting: 0% - bloating PL 2 pliable more voice seems reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108264 -         ..
108265 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108266 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108267 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108268 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108269 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108270 -  132.  260927 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108271 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108272 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
108273 -               0725....BP HR..................................................... 161  79  53  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108274 -               0730....BP HR..................................................... 152  76  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108275 -               0735....BP HR..................................................... 152  74  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108276 -               0740....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108277 -               0000...
108278 -  ..
108279 -               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                                                                                                                                                                                                                                                                                  
108280 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108281 -               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                                                                                                                                                                                                                                                                                                                                                                                   
108282 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108283 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108284 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108285 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108286 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108287 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108288 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108289 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108292 -  ..
108293 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108294 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108296 -  ..
108297 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108298 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108299 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108300 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108301 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108302 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108304 -  ..
108305 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108306 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108308 -  ..
108309 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108310 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108312 -  ..
108313 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108314 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108318 -  ..
108319 - Kardia recorded HR 066 at 1037, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108320 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108321 - likely no AFL after hiking 14 miles temp 59, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108322 - POTI, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108323 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108324 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108325 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108328 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108329 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260927-ecg-134949_mile_00_071_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108333 -  ..
108334 - Post hike HR profile beginning 1917, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108335 - hiking  0 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108336 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108337 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108338 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108339 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108342 -        ..
108343 -       Date      260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719  260718    
108344 -       Time       1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039    2113     
108345 -       Hours         9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11       8     
108346 -       HR AVG       67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57      57     
108347 -       HR MAX      107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     101     
108348 -       HR Min       48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34      38     
108349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108352 -              https://flow.polar.com/training/analysis/8429434976                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108355 -  ..
108356 - HRV seems  0% 0 and  20% good and  80% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108360 -   
108361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108364 -  ..
108365 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108366 - Lunch - half sandwich tuna avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108367 - Dinner - hamburger potato onion broccoli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108369 -  ..
108370 - Vomiting: 0% - bloating PL 2 pliable more voice seems reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108422 -         ..
108423 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108424 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108425 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108426 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108427 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108428 -  132.  260928 0400............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108429 -               0400....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108430 -               0410....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
108431 -               0415....BP HR..................................................... 180  95  69  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108432 -               0420....BP HR..................................................... 175  86  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108433 -               0425....BP HR..................................................... 168  78  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108434 -               0430....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108435 -               0000...
108436 -  ..
108437 -               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                                                                                                                                                                                                                                                                                  
108438 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108439 -               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                                                                                                                                                                                                                                                                                                                                                                                   
108440 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108441 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108442 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108443 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108444 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108445 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108446 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108447 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108450 -  ..
108451 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108452 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108454 -  ..
108455 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108456 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108457 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108458 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108459 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108460 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108462 -  ..
108463 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108464 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108466 -  ..
108467 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108468 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108470 -  ..
108471 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108472 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108477 -  ..
108478 - Kardia recorded HR 066 at 0435, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108479 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108480 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108481 - OK2V, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108482 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108483 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108484 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108487 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108488 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260928-ecg-043536_mile_00_058_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108494 -  ..
108495 - Post hike HR profile beginning 2002, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108496 - hiking  0 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108497 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108498 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108499 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108500 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108503 -        ..
108504 -       Date      260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720  260719    
108505 -       Time       2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934    2039     
108506 -       Hours        12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12      11     
108507 -       HR AVG       67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71      57     
108508 -       HR MAX      130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     105     
108509 -       HR Min       39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38      34     
108510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108513 -              https://flow.polar.com/training/analysis/8430299325                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108516 -  ..
108517 - HRV seems 30% 0 and  40% good and  30% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108521 -   
108522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108525 -  ..
108526 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108527 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108528 - Dinner - steak potato onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108530 -  ..
108531 - Vomiting: 0% - bloating PL 3 pliable less voice seems reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108584 -         ..
108585 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108586 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108587 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108588 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108589 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108590 -  132.  260929 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108591 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108592 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
108593 -               0725....BP HR..................................................... 159  80  62  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108594 -               0730....BP HR..................................................... 171  60  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108595 -               0735....BP HR..................................................... 155  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108596 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108597 -               0000...
108598 -  ..
108599 -               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                                                                                                                                                                                                                                                                                  
108600 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108601 -               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                                                                                                                                                                                                                                                                                                                                                                                   
108602 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108603 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108604 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108605 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108606 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108607 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108608 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108609 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108612 -  ..
108613 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108614 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108616 -  ..
108617 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108618 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108619 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108620 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108621 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108622 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108624 -  ..
108625 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108626 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108628 -  ..
108629 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108630 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108632 -  ..
108633 - Reflux slept in bed 30%, and in recliner chair 70% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108634 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108642 -  ..
108643 - Kardia recorded HR 066 at 1220, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108644 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108645 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108646 - OK2V, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108647 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108648 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108649 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108652 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108653 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260929-ecg-122402_mile_00_064_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108660 -  ..
108661 - Post hike HR profile beginning 2016, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108662 - hiking  0 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108663 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108664 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108665 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108666 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108669 -        ..
108670 -       Date      260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721  260720    
108671 -       Time       2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030    1934     
108672 -       Hours        13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10      12     
108673 -       HR AVG       62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65      71     
108674 -       HR MAX       97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     139     
108675 -       HR Min       40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38      38     
108676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108679 -              https://flow.polar.com/training/analysis/8431082887                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108682 -  ..
108683 - HRV seems 10% 0 and  40% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108687 -   
108688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108691 -  ..
108692 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108693 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108694 - Dinner - steak potato onion broccoli asparagus tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108696 -  ..
108697 - Vomiting: 0% - bloating PL 3 pliable worse voice closer to abnormal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108751 -         ..
108752 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108753 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108754 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108755 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108756 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108757 -  132.  260930 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108758 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108759 -               0730....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
108760 -               0735....BP HR..................................................... 181  87  61  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108761 -               0740....BP HR..................................................... 172  74  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108762 -               0745....BP HR..................................................... 155  71  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108763 -               0750....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108764 -               1100....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108765 -               1100....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108766 -               1100....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
108767 -               1100... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108768 -               1100....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108769 -               1100....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108770 -               1130....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108771 -               1130... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108772 -               1130....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
108773 -               0000...
108774 -  ..
108775 -               1142....miles...........  16.0  16.0  263   263 minutes  temp  94 wind 07  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108776 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108777 -               1417....mile 09 stopped EKG ... banana for potasium and swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108778 -               1417....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108779 -               1417... Magnesium 300 mg 4 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108780 -               1417... CoQ10 100 mg Ubiquinol took 2 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108781 -               1417....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
108782 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108783 -               1417... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108784 -               1417... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108785 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108786 -               1701... Hike ends mile 16... ref SDS 0 KQ2Y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108787 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108788 -               1710....weight.................................... 181  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108789 -               1710....BP HR..................................................... 110  68 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108790 -               1715....BP HR..................................................... 105  66  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108791 -               1720....BP HR..................................................... 121  72  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108792 -               0000...
108793 -  ..
108794 -               1730... 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                                                                                                                                                                                                                                                                                  
108795 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108796 -               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                                                                                                                                                                                                                                                                                                                                                                                   
108797 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108798 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108799 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108800 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108801 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108802 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108803 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108804 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108807 -  ..
108808 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108809 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108811 -  ..
108812 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108813 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108814 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108815 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108816 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108817 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108819 -  ..
108820 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108821 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108823 -  ..
108824 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108825 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108827 -  ..
108828 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108829 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108833 -  ..
108834 - Summary... 1st hike in a week went well, despite bloating PL 4 worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108835 - Temp 94, may have contributed to ending EKG reporting Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108836 - Fibrillation during a hike 1st time in 7 years, plus hiking has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108837 - declined significantly due to ANS afflictions and injuries past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108838 - months.  Hiked 80% normal pace to avoid stressing hyperextended right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108839 - knee, before MRI; but, MRI has not been scheduled.  Good results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108840 - wearing narrower Hoka Clifton 11 width 4E shoes, resulted in slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108841 - more lateral pressure, but only felt on left foot #5, and excellent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108842 - rebound energy made hiking easier.  As temperature lowers expect AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108843 - symptoms will not recur, thanks to 6th ablation.  Nice having normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108844 - BP reflecting vasodilation after hike, not 20 points higher.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108848 -         ..
108849 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108850 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108851 -        Stomach pain bloating unstable ANS...........   4         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
108852 -        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                                                                                                                                                                                                                                                                                                                                                                                         
108853 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108854 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108855 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108856 -        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                                                                                                                                                                                                                                                                                                                           
108857 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108858 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108859 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108860 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108861 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
108862 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108863 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
108864 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108865 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
108866 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108867 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108868 -        Shin splint pain right leg...................   4         30  continue 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108869 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108870 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin knee not hurting beginning of hike, took 1 Naproxen 500 mg mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
108871 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108872 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108873 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108874 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108875 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108876 -        Knee right hyperextension....................   2        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108877 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108878 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108879 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108880 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108881 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108882 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108883 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108884 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108885 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108886 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108887 -        Metatarsalgia left foot...PRP 260403.........   1         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108888 -        Metatarsalgia right foot..PRP 260403.........   1         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108889 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108890 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
108891 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108892 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108893 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
108894 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
108895 -        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                                                                                                                                                                                                                                                                                                                           
108896 -        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                                                                                                                                                                                                                                                                                                                                                                                    
108897 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108898 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
108899 -        Callus big toe left foot.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108900 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108901 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108902 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
108903 -        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                                                                                                                                                                                                                                                                                                                                           
108904 -        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                                                                                                                                                                                                                                                                                                                                           
108905 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108906 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108907 -        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                                                                                                                                                                                                                                                                                                                                                                                        
108908 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
108909 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
108910 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108911 -        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                                                                                                                                                                                                                                                                                                                                                              
108912 -        Callus little toe #5 left foot...PRP 210705..   2         75  wearing Hoka Clifton 11 size 11.5 4x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108913 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
108914 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108915 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108916 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
108917 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108918 -        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                                                                                                                                                                                                                                                                                          
108919 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
108920 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108921 -        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                                                                                                                                                                                                                                                                                                                                                                               
108922 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108923 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108924 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108925 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108926 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108927 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108928 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108929 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
108930 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108931 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108935 -  ..
108936 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108937 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108938 - ref SDS D1 EQ7K and replacing new Fitville Rebound Core V1 Size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108939 - width 6E received on 260414 1105. ref SDS C1 6DG1, Good hike mostly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108940 - 0.  Good cushioning metatarsalgia PL 0.  Did not use toe caps. Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108941 - slight lateral pressure left foot #5 edge.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108943 -  ..
108944 - Orthotic inserts - continued wearing Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108945 - modified to prevent right knee hyperextension injury from collapsing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108946 - the knee inward diagnosed by Doctor Hewitson, as signaling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108947 - hyperextension, and who also modified the Powerstep insert at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108948 - time on 260928 0900. ref SDS E1 BHW2  Today, this seemed to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108949 - right knee pain during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108951 -  ..
108952 - Callus Injuries - narrower 4E shoes increased lateral pressure only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108953 - slightly on short hike, yielded PL 0-2 entire hike, noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108954 - improvement.  Did not need toecaps.  Bubble blister that occurred at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108955 - mile 10 on right foot below #1, reported on 260908, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108956 - ref SDS 0 CF6T, has resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108958 -  ..
108959 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108960 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108961 - Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108966 -  ..
108967 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108968 - protection, mainly right knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108969 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108970 - and also left hip, which flares few times a month, but not for a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108971 - weeks.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108972 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108973 - and #5 calluses both PL 0.  Right knee is PL 3 - see report to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108974 - Dang at VA Clinic in San Bruno and requesting MRI study, shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108975 - record on 260911 1000. ref SDS D9 KC7Z  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108976 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108977 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108978 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108979 - ref SDS 21 QP6L  Took 2 CoQ10 capsules for energy, and took 2 Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108980 - Curcumin 2250 mg pills that resolve inflammation, essential for HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108981 - rise.  Swallowed pills separately and whole combined with small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108982 - avocado, mayonaise, peanut butter and margarine - pills slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108983 - LESV much better when swallowed combined with chewed up food in mouth.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108984 - About 20 minutes later, after dressing for hike, took liquid Turmeric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108985 - Curcumin and Ubiquinol CoQ10 per above. ref SDS 0 KF1L  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108986 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108987 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108988 - ref SDS 21 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108989 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108990 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108991 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108992 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108993 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108994 - and knee injuries.  Now that feet injuries are on the wane, may resume                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108995 - taking backpack after another few hikes.  Wore both Polar Grit X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108996 - GPS/HR monitor on left wrist, as usual.  Also, wore new Garmin Fenix 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108997 - Pro, received on 260927 1540. ref SDS E0 9X5J. on right wrist to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108998 - evaluate for replacing Polar device, which has flipped out of mode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108999 - losing all hiking data, is difficult to launch due to poor design for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109000 - data cable connection, and is very difficult to read in bright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109001 - sunlight.  Today, hiked mile loop around the block to identify                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109002 - bloating and feet wound issues that can be treated, before problems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109003 - arise miles from home.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109004 - Treat.  At start feet feel less swelled like pins and needles - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109005 - not feel electrical shocks in balls of feet due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109006 - neuropathy caused by statins, diabetes, and dysfunctional ANS.  These                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109007 - afflictions seem quiet the past weeks.  Bottom of both feet minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109008 - metatarsalgia pain - significant pain (> 5) - pain in both feet #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109009 - #5 have caused pausing hiking for injuries to heal past 60 days, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109010 - case study on 200101 0701. ref SDS 21 BGZV  Pausing hiking caused HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109011 - 65 on 260302, lowering to HDL 51 in recent lab on 260727.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109012 - through nose entire hike with no dyspnea, indicating conditioning has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109013 - sustained, despite minimal hiking last few months, albeit have not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109014 - been hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109015 - uphill to Cliff House and on Point Lobos for .25 mile returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109016 - hospital.  Temperature started at 78, and reached 94.  West wind 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109017 - mph and mostly 3 mph, which was cooling at times; in fact heat was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109018 - debilitating last 5 miles.  Continued East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109019 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109020 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109021 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109022 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109023 - Creek, turned left onto Ayers hiking East .75 miles on asphalt road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109024 - shoulder.  At mile 4, turned right onto Clayton Road hiking South .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109025 - miles on asphalt pavement in parking lots of shopping complex.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109026 - across parking lot at Lucky store for extra distance (only 150 yards).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109027 - Did not stop to buy banana with potassium that complements meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109028 - energy, and aids swallowing meds to slip through tightening LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109029 - after EGD dilation on 269821.  Hiked back to Clayton.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109030 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109031 - Energy good - did not need to stop at mile 4 time ____ in Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109032 - Mike's Pizza restaurant to take meds for energy to hike.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109033 - going West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109034 - Continued past Park Highlands Road at Stop Light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109035 - miles on very narrow asphalt shoulder next to high risk heavy morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109036 - commute traffic.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109037 - wider shoulder past stop light at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109038 - .25 miles to Chevron gas station and store.  At mile 6.5, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109039 - onto Pine Hollow.  Hiked East 1.5 miles and turned around at mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109040 - past Pennsylvania Boulevard, turned around.  Hiked back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109041 - Valley Road.  Stopped at Chevron gas station store mile 9, time 1417                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109042 - temp 91 and wind 03 mph; EKG looks uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109043 - Kardia reported HR 130 Tachycardia, - see below. ref SDS 0 YFW4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109044 - Bloating PL 4, both feet metatarsalgia PL 0.  Left foot #1 PL 0 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109045 - PL 2.  Right foot #5 PL 0; top of #3, #4, #5 PL 0 feels better today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109046 - than past 3 weeks.  Took 1 Naproxen 500 mg total today 2 for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109047 - Took 4 Magnesium complex 300 mg pills - total today 8 - for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109048 - absorbing lactic acid, per research on 200101 0701. ref SDS 21 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109049 - Took 2 Turmeric Curcumin 2250 mg - total today 4 - to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109050 - inflammation.  Took 2 CoQ10 pills - total today 4 - to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109051 - energy.  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109052 - swallowing nutrition - peanut butter, margarine, Mayonnaise and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109053 - avocado for HDL - enables swallowing medication pills together forming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109054 - a slurry that slips through LESV now contracted due to achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109055 - after dilation procedure on 260821.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109056 - liquid for HDL and energy to continue hike.  Took Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109057 - pill; all per above. ref SDS 0 7HG3  Began to aspirate from build up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109058 - above LESV.  Left immediately to avoid vomitting on table in waiting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109059 - area for car wash.  Hiked .5 miles back on Ygnacio Valley road -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109060 - vomitted along dirt trail next to the road.  At Michigan Boulevard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109061 - hiked back and turned left on Pine Hollow 1.5 miles East.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109062 - Pennsylvania Boulevard again turned around and hiked back, then turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109063 - left onto Campus Drive.  Temperature nearing 94 became a factor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109064 - lowering energy.  Continued 1 mile West uphill 3% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109065 - 04 mph.  The road bends North.  Turned left heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109066 - Valley road .50 mile.  Hiked West on flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109067 - past Crystal Ranch Road heading West on Ygnacio Valley road .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109068 - uphill 3% grade against wind 02 mph - temp 94.  Not feeling well, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109069 - did not continue past Cowell to summit.  Turned right hiking .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109070 - downhill 5% grade, then .25 mile flat grade.  Continued .5 mile with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109071 - no shoulder separating vehicle traffic, challenging during evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109072 - commute.  Turned left onto Treat for .25 mile; turned right on Cunio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109073 - and home.  Ended hike mile 16 time 1701 temp 94, wind 02, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109074 - 4, energy deficit 1, feet metatarsalgia PL 0, left foot #1 edge PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109075 - #5 edge PL 3, right foot #1 PL 0, #5 PL 0, top #3, #4 blistering PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109076 - burning sensation PL 0.  EKG presents standard AF arrythmia with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109077 - artifact, Kardia reported HR 132 Possible Atrial Fibrillation - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109078 - below. ref SDS 0 KQ2Y  When hiking, since after 1st ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109079 - 200430, nearly 7 years ago, Kardia has only reported AFL arrythmia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109080 - never AF until today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109090 -  ..
109091 - Kardia recorded HR 066 at 1022, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109092 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109093 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109094 - OK2V, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109095 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109096 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109097 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109100 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109101 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_260930-ecg-102245_mile_00_057_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109109 -  ..
109110 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109111 - California, hike 16 miles with max temperature 94, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109112 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109114 - ..
109115 -                                                                                                                                                                                                                                                                                                              x
109116 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109117 -                                                                                    w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109118 -                     x                                         y                    w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109119 -       Date          260930 260929 260928 260927 260926 260925 260924 260923 260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 260712 26071  
109120 -       Miles            16     26      0     26      0     26     14     26     13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18     13  
109121 -       HR AVG          130     no     no     no     no     no    112     no    118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115    118  
109122 -  **     MAX           152   report report report report report  143   report  136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140    137  
109123 -         Min            92                                        76            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70     91  
109124 -       El Climb Ft     455                                       575           425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540    395  
109125 -       Temp Max         94                                        59            80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91     91  
109126 -       Wind Max         07                                        03            07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12     12  
109127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109130 -              https://flow.polar.com/training/analysis/8431344347                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109133 -               ..
109135 -   
109136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109141 -  ..
109142 - EKG at mile 09 time 1417, HR 130 BPM, temp 91, wind 03; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109143 - reported Tachycardia... heart rate looks uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109144 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109147 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109148 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260930-ecg-141722_mile_09_130_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109152 -  ..
109153 - End hike EKG at mile 16, time 1701 HR 132 temp 94, wind 02 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109154 - EKG reported very rarely Possible Atrial Fibrillation... looks like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109155 - sinus mostly uniform with some artifact - Kardia interprets possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109156 - AF - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109159 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109160 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_260930-ecg-170110_mile_16_132_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109165 -  ..
109166 - Post hike HR profile beginning 2347, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109167 - hiking 16 miles with temperature  94, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109168 - extended period steady elevated HR > 130, indicates overnight no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109169 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109170 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109171 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109174 -        ..
109175 -       Date      260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722  260721    
109176 -       Time       2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142    2030     
109177 -       Hours         8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9      10     
109178 -       HR AVG       73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58      65     
109179 -       HR MAX      107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     126     
109180 -       HR Min       38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35      38     
109181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109184 -              https://flow.polar.com/training/analysis/8431684377                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109187 -  ..
109188 - HRV seems  0% 0 and  80% good and  20% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109192 -   
109193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109196 -  ..
109197 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109198 - Lunch - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109199 - Dinner - steak potato onion broccoli asparagus tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109201 -  ..
109202 - Vomiting: 0% - bloating PL 2 pliable better voice closer to normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109252 -         ..
109253 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109254 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109255 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109256 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109257 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109258 -  132.  261001 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109259 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109260 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
109261 -               0735....BP HR..................................................... 156  81  48  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109262 -               0740....BP HR..................................................... 153  80  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109263 -               0745....BP HR..................................................... 147  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109264 -               0750....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109265 -               0915....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109266 -               0915....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
109267 -               0915... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109268 -               0915....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109269 -               0915....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109270 -               0915....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109271 -               0945....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109272 -               0945... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109273 -               0945....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
109274 -               0000...
109275 -  ..
109276 -               0950....miles...........  17.0  33.0  272   535 minutes  temp  95 wind 07  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109277 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109278 -               1317....mile 13 stopped EKG ... avocado mayonaise margarine peanut butter swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109279 -               1317....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109280 -               1317... Magnesium 300 mg 4 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109281 -               1317... CoQ10 100 mg Ubiquinol took 2 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109282 -               1317....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
109283 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109284 -               1317... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109285 -               1317... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109286 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109287 -               1513... Hike ends mile 17... ref SDS 0 ZGDU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109288 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109289 -               1525....weight.................................... 181  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109290 -               1530....BP HR..................................................... 107  61 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109291 -               1535....BP HR..................................................... 110  70 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109292 -               1540....BP HR..................................................... 109  69 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109293 -               0000...
109294 -  ..
109295 -               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                                                                                                                                                                                                                                                                                  
109296 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109297 -               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                                                                                                                                                                                                                                                                                                                                                                                   
109298 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109299 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109300 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109301 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109302 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109303 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109304 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109305 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109308 -  ..
109309 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109310 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109312 -  ..
109313 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109314 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109315 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109316 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109317 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109318 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109320 -  ..
109321 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109322 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109324 -  ..
109325 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109326 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109328 -  ..
109329 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109330 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109334 -  ..
109335 - Summary... 1st time this year hiking nearly 2 miles out on Mitchell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109336 - Canyon Road, toward Mount Diablo trailhead.  After hiking yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109337 - 1st time in over a week, body was hurting, so thought could only do 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109338 - miles, but managed 17 miles, with temp 95 and bloating PL 4.  Actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109339 - seemed like bloating may have significantly declined while hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109340 - today.  Good that EKG did not report another Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109341 - Fibrillation today, after this occurred yesterday, during a hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109342 - 1st time in 7 years.  Hiking 2 days in a row today, is a start to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109343 - recover from hiking having declined significantly due to ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109344 - afflictions and injuries past few months.  Hiked 80% normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109345 - avoid stressing hyperextended right knee, before MRI; but, MRI has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109346 - been scheduled.  Good results wearing narrower Hoka Clifton 11 width                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109347 - 4E shoes - causes slightly more lateral pressure, but only felt on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109348 - left foot #5, and excellent rebound energy makes hiking easier.  As                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109349 - temperature lowers expect AF symptoms will not recur, thanks to 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109350 - ablation.  Nice having normal BP reflecting vasodilation after hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109351 - not 20 points higher.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109355 -         ..
109356 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109357 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109358 -        Stomach pain bloating unstable ANS...........   4         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
109359 -        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                                                                                                                                                                                                                                                                                                                                                                                         
109360 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109361 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109362 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109363 -        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                                                                                                                                                                                                                                                                                                                           
109364 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109365 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109366 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109367 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109368 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
109369 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109370 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
109371 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109372 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
109373 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109374 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109375 -        Shin splint pain right leg...................   4         30  continue 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109376 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109377 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin knee not hurting beginning of hike, took 1 Naproxen 500 mg mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
109378 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109379 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109380 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109381 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109382 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109383 -        Knee right hyperextension....................   2        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109384 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109385 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109386 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109387 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109388 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109389 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109390 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109391 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109392 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109393 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109394 -        Metatarsalgia left foot...PRP 260403.........   1         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109395 -        Metatarsalgia right foot..PRP 260403.........   1         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109396 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109397 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
109398 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109399 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109400 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
109401 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
109402 -        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                                                                                                                                                                                                                                                                                                                           
109403 -        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                                                                                                                                                                                                                                                                                                                                                                                    
109404 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109405 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
109406 -        Callus big toe left foot.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109407 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109408 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109409 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
109410 -        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                                                                                                                                                                                                                                                                                                                                           
109411 -        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                                                                                                                                                                                                                                                                                                                                           
109412 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109413 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109414 -        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                                                                                                                                                                                                                                                                                                                                                                                        
109415 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
109416 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
109417 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109418 -        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                                                                                                                                                                                                                                                                                                                                                              
109419 -        Callus little toe #5 left foot...PRP 210705..   2         75  wearing Hoka Clifton 11 size 11.5 4x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109420 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
109421 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109422 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109423 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
109424 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109425 -        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                                                                                                                                                                                                                                                                                          
109426 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
109427 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109428 -        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                                                                                                                                                                                                                                                                                                                                                                               
109429 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109430 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109431 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109432 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109433 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109434 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109435 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109436 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
109437 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109438 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109442 -  ..
109443 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109444 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109445 - ref SDS D1 EQ7K and replacing new Fitville Rebound Core V1 Size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109446 - width 6E received on 260414 1105. ref SDS C1 6DG1, Good hike mostly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109447 - 0.  Good cushioning metatarsalgia PL 0.  Did not use toe caps. Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109448 - slight lateral pressure left foot #5 edge.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109450 -  ..
109451 - Orthotic inserts - continued wearing Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109452 - modified to prevent right knee hyperextension injury from collapsing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109453 - the knee inward diagnosed by Doctor Hewitson, as signaling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109454 - hyperextension, and who also modified the Powerstep insert at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109455 - time on 260928 0900. ref SDS E1 BHW2  Today, this seemed to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109456 - right knee pain during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109458 -  ..
109459 - Callus Injuries - narrower 4E shoes increased lateral pressure only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109460 - slightly on short hike, yielded PL 0-2 entire hike, noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109461 - improvement.  Did not need toecaps.  Bubble blister that occurred at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109462 - mile 10 on right foot below #1, reported on 260908, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109463 - ref SDS 0 CF6T, has resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109465 -  ..
109466 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109467 - from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109468 - Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109473 -  ..
109474 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109475 - protection, mainly right knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109476 - injection 13 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109477 - and also left hip, which flares few times a month, today being 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109478 - after not doing so the few weeks.  Took 1 Naproxen 500 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109479 - management - there is no metatarsalgia pain in feet starting the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109480 - today, and both feet #1 and #5 calluses both PL 0.  Right knee is PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109481 - - see report to Doctor Dang at VA Clinic in San Bruno and requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109482 - MRI study, shown in the record on 260911 1000. ref SDS D9 KC7Z  Took 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109483 - Magnesium Complex 300 mg pills for energy and absorbing lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109484 - that enable hiking, and reduce inflammation, all enabling HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109485 - increase, and together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109486 - research on 200101 0701, ref SDS 21 QP6L  Took 2 CoQ10 capsules for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109487 - energy, and took 2 Turmeric Curcumin 2250 mg pills that resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109488 - inflammation, essential for HDL to rise.  Swallowed pills separately                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109489 - and whole combined with small amount avocado, mayonaise, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109490 - and margarine - pills slip through contracted LESV much better when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109491 - swallowed with food chewed to a slurry in mouth.  About 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109492 - later, after dressing for hike, took liquid Turmeric Curcumin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109493 - Ubiquinol CoQ10 per above. ref SDS 0 HZ7V  CoQ10 is an enzyme produced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109494 - in the body that supports an electron transport chain (ETC) giving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109495 - human cells energy - see case study on 200101 0701. ref SDS 21 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109496 - No breakfast reduces bloating feeling starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109497 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109498 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109499 - rate) see case study on 200101 0701. ref SDS 21 O33H  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109500 - backpack to carry stuff - good to build conditioning for Half Dome -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109501 - because extra weight increases pressure that causes feet and knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109502 - injuries.  Now that feet injuries are on the wane, may resume taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109503 - backpack after another few hikes.  Wore both Polar Grit X GPS/HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109504 - monitor on left wrist, as usual, and wore new Garmin Fenix 9 Pro,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109505 - received on 260927 1540. ref SDS E0 9X5J. on right wrist to evaluate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109506 - for replacing Polar device, which has flipped out of mode losing all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109507 - hiking data, and is difficult to connect charge-and-data cable to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109508 - launch the software due to poor design for data cable connection.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109509 - Polar Grit X GPS/HR device is very difficult to read in bright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109510 - sunlight.  Garmin Fenix 9 Pro uses AMOLED screen technology that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109511 - easily read in bright sun.  Today, did not hike mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109512 - block to identify bloating and feet wound issues that can be treated,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109513 - before problems arise miles from home, because bloating seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109514 - reduced.  Hiked Cuneo .25 mile and turned left, onto Treat.  At start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109515 - feet feel less swelled like pins and needles - did not feel electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109516 - shocks in balls of feet due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109517 - statins, diabetes, and dysfunctional ANS.  These afflictions seem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109518 - quiet the past weeks.  Bottom of both feet minor metatarsalgia pain -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109519 - significant pain (> 5) - pain in both feet #1 and #5 have caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109520 - pausing hiking for injuries to heal past 60 days, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109521 - 200101 0701. ref SDS 21 BGZV  Pausing hiking caused HDL 65 on 260302,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109522 - lowering to HDL 51 in recent lab on 260727.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109523 - entire hike with no dyspnea, indicating conditioning has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109524 - despite reduced.  Notably have not been hiking Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109525 - resulting in dyspnea on 260727, hiking uphill to Cliff House and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109526 - Point Lobos for .25 mile returning to hospital.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109527 - at 64, and reached 95.  West wind 07 mph and mostly 3 mph, which was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109528 - cooling at times; in fact heat was debilitating last 5 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109529 - resulting in cutting hike short 10 miles.  Continued East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109530 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109531 - Road for 1.5 miles mostly flat grade, some places 3% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109532 - light traffic.  Hiked across Newhall Community park and back today.  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109533 - woman noted seeing me hiking around town, offered kind remarks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109534 - asked for advance on hiking to restore good health, explaining she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109535 - used to run marathons.  She ended discussion saying there is not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109536 - enough time to hike for 30 minutes 4 - 6 days a week.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109537 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109538 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109539 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109540 - asphalt pavement in parking lots of shopping complex.  Hiked across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109541 - parking lot at Lucky store for extra distance (only 150 yards).  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109542 - not stop to buy banana with potassium that complements meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109543 - energy, and aids swallowing meds to slip through tightening LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109544 - after EGD dilation on 260821.  Hiked back to Clayton.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109545 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109546 - Energy good - did not need to stop at mile 4 time ____ in Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109547 - Mike's Pizza restaurant to take meds for energy to hike.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109548 - going West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109549 - Continued past Park Highlands Road at Stop Light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109550 - miles on very narrow asphalt shoulder next to high risk heavy morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109551 - commute traffic.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109552 - wider shoulder past stop light at Michigan Boulevard.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109553 - .25 miles to Chevron gas station and store.  At mile 6.5, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109554 - onto Pine Hollow.  Hiked East 2.5 miles to end of Pine Hollow. turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109555 - around, and hiked back.  At Mitchell Canyon Road turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109556 - 1.5 miles South.  At mile 10, Cemex Clayton Aggregates, turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109557 - and hiked back to Pine Hollow.  Turned left, and hiked 2 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109558 - Ygnacio Valley Road.  Stopped at Chevron gas station store mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109559 - time 1317 temp 92 and wind 03 mph; EKG looks uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109560 - artifact.  Kardia reported HR 122 Tachycardia, - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109561 - ref SDS 0 OQ9J  Bloating PL 3, both feet metatarsalgia PL 2.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109562 - foot #1 PL 0 and #5 PL 2.  Right foot #5 PL 2; top of #3, #4, #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109563 - right knee PL 3.  Took 1 Naproxen 500 mg total today 2 for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109564 - 4 Magnesium complex 300 mg pills - total today 8 - for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109565 - absorbing lactic acid, per research on 200101 0701. ref SDS 21 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109566 - Took 2 Turmeric Curcumin 2250 mg - total today 4 - to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109567 - inflammation.  Took 2 CoQ10 pills - total today 4 - to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109568 - energy.  Sips softdrink purchased from Chev store for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109569 - swallowing nutrition - peanut butter, margarine, Mayonnaise and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109570 - avocado for HDL - enables swallowing medication pills together forming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109571 - a slurry that slips through LESV now contracted due to achalasia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109572 - after dilation procedure on 260821. 260821 0830, ref SDS D3 433O  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109573 - Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to continue hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109574 - Took Nuun electrolyte pill; all per above. ref SDS 0 YP6W  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109575 - hike .25 miles back on Ygnacio Valley road.  No vomiting along dirt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109576 - trail next to the road.  Halfway to Michigan Boulevard hiked back and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109577 - turned left on Pine Hollow, and crossed the street heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109578 - Drive.  Temperature nearing 94 became a factor lowering energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109579 - Continued 1 mile uphill 3% grade against wind 04 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109580 - North.  Turned left heading West on Ygnacio Valley road on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109581 - .5 miles.  Continued past Crystal Ranch Road heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109582 - Valley road .5 mile uphill 3% grade against wind 02 mph - temp 95.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109583 - Not feeling well, so did not continue past Cowell up to the summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109584 - and in order to avoid further overexertion, which can compound HRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109585 - adverse affect on ANS.  Turned right hiking .25 mile downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109586 - grade, then .25 mile flat grade.  Continued .5 mile with no shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109587 - separating vehicle traffic, challenging during afternoon commute.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109588 - Turned left onto Treat for .25 mile; turned right on Cunio and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109589 - Ended hike mile 17 time 1539 temp 92, wind 06, bloating PL 3, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109590 - deficit 3, feet metatarsalgia PL 2, left foot #1 edge PL 1, #5 edge PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109591 - 2, right foot #1 PL 0, #5 PL 1, top #3, #4 blistering PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109592 - sensation PL 0.  Left knee meniscus PL 0, right knee meniscus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109593 - hyperextended possible cruciate ligament PL 2??  EKG looks perfectly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109594 - uniform with no artifact.  Kardia reported HR 125 Tachycardia, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109595 - below. ref SDS 0 ZGDU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109605 -  ..
109606 - Kardia recorded HR 052 at 0822, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109607 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109608 - likely no AFL after hiking 00 miles temp __, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109609 - OK2V, and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109610 - likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109611 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109612 - Medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109615 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109616 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261001-ecg-082241-mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109623 -  ..
109624 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109625 - California, hike 17 miles with max temperature 94, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109626 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109628 - ..
109629 -                                                                                                                                                                                                                                                                                                              x
109630 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109631 -                                                                                    w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109632 -                     x                                         y                    w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109633 -       Date          261001 260930 260929 260928 260927 260926 260925 260924 260923 260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 260714 260713 26071  
109634 -       Miles            17     16     26      0     26      0     26     14     26     13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0     18     18  
109635 -       HR AVG          116    130     no     no     no     no     no    112     no    118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no    114    115  
109636 -  **     MAX           143    152   report report report report report  143   report  136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report report  140    140  
109637 -         Min            71     92                                        76            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                   77     70  
109638 -       El Climb Ft     560    455                                       575           425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                  540    540  
109639 -       Temp Max         95     94                                        59            80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                   95     91  
109640 -       Wind Max         07     07                                        03            07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                   12     12  
109641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109644 -              https://flow.polar.com/training/analysis/8431977294                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109647 -               ..
109649 -   
109650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109655 -  ..
109656 - EKG at mile 13 time 1317, HR 122 BPM, temp 85, wind 03; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109657 - reported Tachycardia... heart rate looks uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109658 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109661 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109662 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261001-ecg-131706_mile_13_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109666 -  ..
109667 - End hike EKG at mile 17, time 1513 HR 125 temp 92, wind 06; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109668 - reported Tachycardia, heart rate looks uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109669 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109672 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109673 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261001-ecg-151339_mile_17_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109678 -  ..
109679 - Post hike HR profile beginning 2016, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109680 - hiking 17 miles with temperature  95, and showing brief extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109681 - period steady elevated HR > 130, indicates possible atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109682 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109683 - ablation on 240611, 240611 0930, ref SDS 56 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109684 - on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109687 -        ..
109688 -       Date      261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723  260722    
109689 -       Time       2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022    2142     
109690 -       Hours        14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11       9     
109691 -       HR AVG       73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63      58     
109692 -       HR MAX      149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114      93     
109693 -       HR Min       40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38      35     
109694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109697 -              https://flow.polar.com/training/analysis/8432451054                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109700 -  ..
109701 - HRV seems 20% 0 and  20% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109705 -   
109706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109709 -  ..
109710 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109711 - Lunch - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109712 - Dinner - steak potato onion broccoli asparagus tomato - only few bites, couldn't swallow ANS compounded achalasia LESV swallowing deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109714 -  ..
109715 - Vomiting: 0% - bloating PL 1 pliable better voice closer to normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109765 -         ..
109766 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109767 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109768 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109769 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109770 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109771 -  132.  261002 0740............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109772 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109773 -               0740....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
109774 -               0745....BP HR..................................................... 156  81  48  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109775 -               0750....BP HR..................................................... 153  80  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109776 -               0755....BP HR..................................................... 147  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109777 -               0800....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109778 -               0000...
109779 -  ..
109780 -               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                                                                                                                                                                                                                                                                                  
109781 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109782 -               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                                                                                                                                                                                                                                                                                                                                                                                   
109783 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109784 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109785 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109786 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109787 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109788 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109789 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109790 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109793 -  ..
109794 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109795 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109797 -  ..
109798 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109799 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109800 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109801 - feet are elevated in reclining chair.  Restless legs has not occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109802 - for awhile, maybe because hiking declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109804 -  ..
109805 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109806 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109808 -  ..
109809 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109810 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109812 -  ..
109813 - Reflux slept in bed 100%, and in recliner chair 00% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109814 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109820 -  ..
109821 - Kardia recorded HR 050 at 1052, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109822 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109823 - hiking 17 miles temp 95, per above, ref SDS 0 HZ7V, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109824 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109825 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109826 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109827 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109830 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109831 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261002-ecg-105201-mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109835 -  ..
109836 - Post hike HR profile beginning 1959, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109837 - hiking 00 miles with temperature  __, and showing brief extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109838 - period steady elevated HR > 130, indicates possible atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109839 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109840 - ablation on 240611, 240611 0930, ref SDS 56 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109841 - on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109844 -        ..
109845 -       Date      261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724  260723    
109846 -       Time       1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231    2022     
109847 -       Hours         8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9      11     
109848 -       HR AVG       74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59      63     
109849 -       HR MAX      130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     114     
109850 -       HR Min       39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37      38     
109851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109854 -              https://flow.polar.com/training/analysis/8432841570                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109857 -  ..
109858 - HRV seems 20% 0 and  20% good and  60% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109862 -   
109863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109866 -  ..
109867 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109868 - Lunch - hamburger avocado tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109869 - Dinner - macaroni cheese steak broccoli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109871 -  ..
109872 - Vomiting: 0% - bloating PL 2 pliable worse voice closer to normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109923 -         ..
109924 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109925 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109926 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109927 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109928 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109929 -  132.  261003 0415............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109930 -               0420....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109931 -               0420....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
109932 -               0425....BP HR..................................................... 153  95  48  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109933 -               0430....BP HR..................................................... 173  76  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109934 -               0435....BP HR..................................................... 163  75  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109935 -               0440....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109936 -               0610....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109937 -               0610....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
109938 -               0610... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109939 -               0610....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109940 -               0610....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109941 -               0610....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109942 -               0635....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109943 -               0635... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109944 -               0635....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
109945 -               0000...
109946 -  ..
109947 -               0644....miles...........  13.0  46.0  208   743 minutes  temp  92 wind 06  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109948 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109949 -               0000....mile 13 stopped EKG ... avocado mayonaise margarine peanut butter swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109950 -               0000....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109951 -               0000... Magnesium 300 mg 4 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109952 -               0000... CoQ10 100 mg Ubiquinol took 2 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109953 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
109954 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109955 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109956 -               0000... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109957 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109958 -               1513... Hike ends mile 17... ref SDS 0 ZGDU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109959 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109960 -               1525....weight.................................... 181  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109961 -               1530....BP HR..................................................... 107  61 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109962 -               1535....BP HR..................................................... 110  70 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109963 -               1540....BP HR..................................................... 109  69 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109964 -               0000...
109965 -  ..
109966 -               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                                                                                                                                                                                                                                                                                  
109967 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109968 -               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                                                                                                                                                                                                                                                                                                                                                                                   
109969 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109970 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109971 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109972 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109973 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109974 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109975 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109976 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109979 -  ..
109980 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109981 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109983 -  ..
109984 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109985 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109986 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109987 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109988 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109989 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109991 -  ..
109992 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109993 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109995 -  ..
109996 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109997 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109999 -  ..
110000 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110001 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110005 -  ..
110006 - Summary... 1st time this year hiking nearly 2 miles out on Mitchell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110007 - Canyon Road, toward Mount Diablo trailhead.  After hiking yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110008 - 1st time in over a week, body was hurting, so thought could only do 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110009 - miles, but managed 17 miles, with temp 95 and bloating PL 4.  Actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110010 - seemed like bloating may have significantly declined while hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110011 - today.  Good that EKG did not report another Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110012 - Fibrillation today, after this occurred yesterday, during a hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110013 - 1st time in 7 years.  Hiking 2 days in a row today, is a start to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110014 - recover from hiking having declined significantly due to ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110015 - afflictions and injuries past few months.  Hiked 80% normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110016 - avoid stressing hyperextended right knee, before MRI; but, MRI has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110017 - been scheduled.  Good results wearing narrower Hoka Clifton 11 width                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110018 - 4E shoes - causes slightly more lateral pressure, but only felt on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110019 - left foot #5, and excellent rebound energy makes hiking easier.  As                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110020 - temperature lowers expect AF symptoms will not recur, thanks to 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110021 - ablation.  Nice having normal BP reflecting vasodilation after hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110022 - not 20 points higher.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110026 -         ..
110027 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110028 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110029 -        Stomach pain bloating unstable ANS...........   4         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
110030 -        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                                                                                                                                                                                                                                                                                                                                                                                         
110031 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110032 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110033 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110034 -        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                                                                                                                                                                                                                                                                                                                           
110035 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110036 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110037 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110038 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110039 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
110040 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110041 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
110042 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110043 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
110044 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110045 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110046 -        Shin splint pain right leg...................   4         30  continue 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110047 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110048 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin knee not hurting beginning of hike, took 1 Naproxen 500 mg mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
110049 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110050 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110051 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110052 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110053 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110054 -        Knee right hyperextension....................   2        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110055 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110056 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110057 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110058 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110059 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110060 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110061 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110062 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110063 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110064 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110065 -        Metatarsalgia left foot...PRP 260403.........   1         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110066 -        Metatarsalgia right foot..PRP 260403.........   1         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110067 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110068 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
110069 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110070 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110071 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
110072 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
110073 -        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                                                                                                                                                                                                                                                                                                                           
110074 -        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                                                                                                                                                                                                                                                                                                                                                                                    
110075 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110076 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
110077 -        Callus big toe left foot.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110078 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110079 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110080 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
110081 -        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                                                                                                                                                                                                                                                                                                                                           
110082 -        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                                                                                                                                                                                                                                                                                                                                           
110083 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110084 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110085 -        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                                                                                                                                                                                                                                                                                                                                                                                        
110086 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
110087 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
110088 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110089 -        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                                                                                                                                                                                                                                                                                                                                                              
110090 -        Callus little toe #5 left foot...PRP 210705..   2         75  wearing Hoka Clifton 11 size 11.5 4x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110091 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
110092 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110093 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110094 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
110095 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110096 -        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                                                                                                                                                                                                                                                                                          
110097 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
110098 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110099 -        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                                                                                                                                                                                                                                                                                                                                                                               
110100 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110101 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110102 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110103 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110104 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110105 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110106 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110107 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
110108 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110109 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110113 -  ..
110114 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110115 - Fitville Rebound Core V1 Size 10.5 width 6E received on 260414 1105.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110116 - ref SDS C1 6DG1, and replacing new Hoka Clifton 11 shoes size 11.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110117 - width 4E, received on 260816 1511, ref SDS D1 EQ7K  Difficult hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110118 - mostly PL 4, right knee, and PL 3 metatarsalgia both feet, slowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110119 - pace - feet feel like walking on 2x4 wood blocks.  Slightly less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110120 - lateral pressure both feet because width 6E has more room than Clifton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110121 - 4E shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110123 -  ..
110124 - Orthotic inserts - continued wearing Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110125 - modified to prevent right knee hyperextension injury from collapsing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110126 - the knee inward diagnosed by Doctor Hewitson, as signaling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110127 - hyperextension, and who also modified the Powerstep insert at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110128 - time on 260928 0900. ref SDS E1 BHW2  Today, this seemed to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110129 - right knee pain during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110131 -  ..
110132 - Callus Injuries - Wider 6E shoes reduce lateral pressure slightly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110133 - short hike, yielded PL 0-2 entire hike, noticable improvement.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110134 - not need toecaps, because Doctor Hewitson removed extra padding on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110135 - Powerstep Protech Classic Thin inserts, which prevents the feet from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110136 - pressing on show cover that prevously caused blistering and calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110137 - on #345 metatarsals.  Bubble blister that occurred at mile 10 on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110138 - foot below #1, reported on 260908, per above. ref SDS 0 CF6T, has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110139 - resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110141 -  ..
110142 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110143 - switch from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110144 - socks.  Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110149 -  ..
110150 - Concord 13 mile route - took Glucosamine Chondroitin (GC) for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110151 - protection, mainly knees treated with PRP and Supartz intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110152 - injections 23 times, beginning on 170123; see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110153 - 0701, ref SDS 21 TTPV, and most recently PRP on 260911 1000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110154 - ref SDS D9 8FOX  GC equally aids left hip, which flares few times a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110155 - month.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110156 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110157 - and #5 calluses PL 0.  Right knee is PL 3 - see report to Doctor Dang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110158 - at VA Clinic in San Bruno and requesting MRI study, shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110159 - record on 260911 1000. ref SDS D9 KC7Z  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110160 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110161 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110162 - elevated EPCs regress plaque in blood vessels - see research on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110163 - 0701, ref SDS 21 QP6L  Took 2 CoQ10 100 mg capsules for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110164 - took 2 Turmeric Curcumin 2250 mg pills that resolve inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110165 - essential for HDL to rise.  Swallowed pills separately and whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110166 - combined with small amount avocado, mayonaise, peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110167 - margarine - pills slip through contracted LESV much better when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110168 - swallowed with food chewed to a slurry combined with sips of soft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110169 - drink.  About 20 minutes later, after dressing for hike, took liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110170 - Turmeric Curcumin and CoQ10 per above. ref SDS 0 WVY4  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110171 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110172 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110173 - ref SDS 21 136K  No breakfast reduces bloating starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110174 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110175 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110176 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110177 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110178 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110179 - and knee injuries.  Now that feet injuries are on the wane, may resume                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110180 - taking backpack after another few hikes.  Wore both Polar Grit X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110181 - GPS/HR monitor on left wrist, as usual, and wore new Garmin Fenix 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110182 - Pro, received on 260927 1540. ref SDS E0 9X5J. on right wrist to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110183 - evaluate for replacing Polar device, which has flipped out of mode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110184 - losing all hiking data, and is difficult to connect charge-and-data                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110185 - cable to launch the software due to poor design for data cable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110186 - connection.  The Polar Grit X GPS/HR device is very difficult to read                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110187 - in bright sunlight due to down level screen.  Garmin Fenix 9 Pro uses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110188 - AMOLED screen technology that is easily read in bright sun.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110189 - hiked mile loop around the block to identify bloating and feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110190 - issues that can be treated, before problems arise miles from home,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110191 - because bloating seemed PL 3, i.e., prominent.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110192 - and turned left, onto Treat.  At start feet feel less swelled like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110193 - pins and needles - did not feel electrical shocks in balls of feet due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110194 - to peripheral neuropathy caused by statins, diabetes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110195 - dysfunctional ANS.  These afflictions seem quiet the past weeks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110196 - hopefully signalling ANS instability is resolving.  Bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110197 - feet minor metatarsalgia pain - significant pain (> 5) - pain in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110198 - feet #1 and #5 have caused pausing hiking for injuries to heal past 60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110199 - days, see case study on 200101 0701. ref SDS 21 BGZV  Pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110200 - caused HDL 65 on 260302, lowering to HDL 51 in recent lab on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110201 - Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110202 - conditioning has sustained, despite reduced.  Notably have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110203 - hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110204 - uphill to Cliff House and on Point Lobos for .25 mile returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110205 - hospital.  Temperature started at 69, and reached 92.  West wind 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110206 - mph and mostly 3 mph, which was cooling at times; in fact heat was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110207 - debilitating last 3 miles, resulting in cutting hike short 8 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110208 - Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110209 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110210 - some places 3% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110211 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110212 - uphill 4% grade.  Then turned left onto Ayers hiking on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110213 - East .75 miles on asphalt road shoulder.  At mile 5, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110214 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110215 - of shopping complex.  Hiked across parking lot at Lucky store for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110216 - extra distance (only 150 yards).  Did not stop to buy banana with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110217 - potassium that complements meds for energy, and aids swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110218 - to slip through tightening LESV, after EGD dilation on 260821.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110219 - back to Clayton.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110220 - on concrete sidewalk .5 miles.  Energy conflicting -- pace slowed to 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110221 - miles per hour, was passed by someone (might have been an old guy with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110222 - a cane and limping!!!  Could not keep up - may align with ANS lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110223 - HRV below critical level to sustain energy.  As well, did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110224 - need to stop at mile 5 time ____ in Mountain Mike's Pizza restaurant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110225 - to take meds for energy to hike, which was occurring regularly, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110226 - Ferritin was below range, cited earlier this year on 260106, in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110227 - study on 200101 0701. ref SDS 21 5EUR, and in letter to medical team                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110228 - last year on 250525 1018. ref SDS 98 QG55  Turned right going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110229 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110230 - Park Highlands Road at Stop Light and heading West .25 miles on very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110231 - narrow asphalt shoulder with heavy morning commute traffic.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110232 - to South side Ygnacio Valley Road hiking on wider shoulder past stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110233 - light at Michigan Boulevard.  Hiked another .25 miles to Chevron gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110234 - station and store.  At mile 7, turned left onto Pine Hollow.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110235 - East .15 miles.  Crossed street at break in traffic.  Hiked back and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110236 - turned West onto Campus Drive.  Temperature nearing 90 became a factor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110237 - lowering energy - likely in compounding ANS effects.  Continued 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110238 - uphill 3% grade against wind 04 mph.  The road bends North.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110239 - left heading West on Ygnacio Valley road on flat grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110240 - Turned left onto Crystal Ranch Road hiking South uphill 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110241 - Normally hike 2.5 miles to end at top of mountain in residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110242 - development.  Today, had to turn around only about .25 miles and hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110243 - back.  Turned left continuing West on Ygnacio Valley road .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110244 - uphill 3% grade against wind 02 mph - temp 92.  Not feeling well, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110245 - did not continue past Cowell up to the summit, and in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110246 - further overexertion, which can compound HRV adverse affect on ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110247 - Turned right hiking .25 mile downhill 5% grade, then .25 mile flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110248 - grade.  Continued .5 mile with no shoulder separating vehicle traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110249 - challenging during afternoon commute.  Turned left onto Treat for .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110250 - mile; turned right on Cunio and home.  Ended hike mile 13 time 1033                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110251 - temp 92, wind 06, bloating PL 3, energy deficit 3, feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110252 - PL 3, left foot #1 edge PL 0, #5 edge PL 0, right foot #1 PL 0, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110253 - 3, top #3, #4 blistering PL 0, burning sensation PL 0.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110254 - meniscus PL 0, right knee meniscus PL 0, hyperextended possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110255 - cruciate ligament PL 4.  EKG looks mostly uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110256 - Kardia reported HR 111 Tachycardia, see below. ref SDS 0 QYBZ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110266 -  ..
110267 - Kardia recorded HR 057 at 0454, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110268 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110269 - hiking 00 miles temp __, per above, ref SDS 0 71TP, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110270 - ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110271 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110272 - Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110273 - study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110276 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110277 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261003-ecg-045412_mile_00_057_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110284 -  ..
110285 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110286 - California, hike 13 miles with max temperature 92, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110287 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110289 - ..
110290 -                                                                                                                                                                                                                                                                                                              x
110291 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110292 -                                                                                    w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110293 -                     x                                         y                    w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110294 -       Date          261003 261002 261001 260930 260929 260928 260927 260926 260925 260924 260923 260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 26071  
110295 -       Miles            13     26     17     16     26      0     26      0     26     14     26     13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0  
110296 -       Minutes         208           272    263                                       237           226                         243    179    289                                                     211    413    338    331           278           325           352           422                         306                         338                  319                  389                  286                                300           341    344    271    222    246    200    274           100                  191                                387                  240                
110297 -       HR AVG          116     no    116    130     no     no     no     no     no    112     no    118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no  
110298 -  **     MAX           137   report  143    152   report report report report report  143   report  136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report repo  
110299 -         Min            90            71     92                                        76            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                
110300 -       El Climb Ft     425           560    455                                       575           425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                
110301 -       Temp Max         92            95     94                                        59            80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                
110302 -       Wind Max         06            07     07                                        03            07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                
110303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110306 -              https://flow.polar.com/training/analysis/8433103272                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110309 -               ..
110311 -   
110312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110314 -  ..
110315 - End hike EKG at mile 13, time 1033 HR 111 temp 92, wind 06; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110316 - reported Tachycardia, heart rate looks uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110317 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110320 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110321 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261003-ecg-103330_mile_13_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110326 -  ..
110327 - Post hike HR profile beginning 2101, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110328 - hiking 13 miles with temperature  92, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110329 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110330 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110331 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110332 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110336 -        ..
110337 -       Date      261003  261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725  260724    
110338 -       Time       2101    1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957    2231     
110339 -       Hours        10       8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12       9     
110340 -       HR AVG       60      74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64      59     
110341 -       HR MAX      102     130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     117     
110342 -       HR Min       38      39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38      37     
110343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110347 -              https://flow.polar.com/training/analysis/8433726707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110349 -  ..
110350 - HRV seems  0% 0 and  30% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110354 -   
110355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110358 -  ..
110359 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110360 - Lunch - hamburger avocado tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110361 - Dinner - steak potato cottage cheese onion tomato - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110363 -  ..
110364 - Vomiting: 0% - bloating PL 2 pliable worse voice closer to normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110415 -         ..
110416 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110417 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110418 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110419 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110420 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110421 -  132.  261004 0720............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110422 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110423 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
110424 -               0725....BP HR..................................................... 172  84  68  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110425 -               0730....BP HR..................................................... 169  76  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110426 -               0735....BP HR..................................................... 157  80  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110427 -               0740....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110428 -               0610....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110429 -               0610....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
110430 -               0610... CoQ10 100 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110431 -               0610....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110432 -               0610....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110433 -               0610....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110434 -               0635....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110435 -               0635... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110436 -               0635....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
110437 -               0000...
110438 -  ..
110439 -               0644....miles...........  13.0  46.0  208   743 minutes  temp  92 wind 06  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110440 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110441 -               0000....mile 13 stopped EKG ... avocado mayonaise margarine peanut butter swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110442 -               0000....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110443 -               0000... Magnesium 300 mg 4 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110444 -               0000... CoQ10 100 mg Ubiquinol took 2 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110445 -               0000....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
110446 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110447 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110448 -               0000... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110449 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110450 -               1513... Hike ends mile 17... ref SDS 0 ZGDU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110451 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110452 -               1525....weight.................................... 181  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110453 -               1530....BP HR..................................................... 107  61 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110454 -               1535....BP HR..................................................... 110  70 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110455 -               1540....BP HR..................................................... 109  69 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110456 -               0000...
110457 -  ..
110458 -               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                                                                                                                                                                                                                                                                                  
110459 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
110460 -               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                                                                                                                                                                                                                                                                                                                                                                                   
110461 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110462 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110463 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110464 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110465 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110466 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110467 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110468 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110471 -  ..
110472 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110473 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110475 -  ..
110476 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110477 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110478 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110479 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110480 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110481 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110483 -  ..
110484 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110485 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110487 -  ..
110488 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110489 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110491 -  ..
110492 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110493 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110497 -  ..
110498 - Summary... 1st time this year hiking nearly 2 miles out on Mitchell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110499 - Canyon Road, toward Mount Diablo trailhead.  After hiking yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110500 - 1st time in over a week, body was hurting, so thought could only do 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110501 - miles, but managed 17 miles, with temp 95 and bloating PL 4.  Actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110502 - seemed like bloating may have significantly declined while hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110503 - today.  Good that EKG did not report another Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110504 - Fibrillation today, after this occurred yesterday, during a hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110505 - 1st time in 7 years.  Hiking 2 days in a row today, is a start to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110506 - recover from hiking having declined significantly due to ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110507 - afflictions and injuries past few months.  Hiked 80% normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110508 - avoid stressing hyperextended right knee, before MRI; but, MRI has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110509 - been scheduled.  Good results wearing narrower Hoka Clifton 11 width                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110510 - 4E shoes - causes slightly more lateral pressure, but only felt on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110511 - left foot #5, and excellent rebound energy makes hiking easier.  As                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110512 - temperature lowers expect AF symptoms will not recur, thanks to 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110513 - ablation.  Nice having normal BP reflecting vasodilation after hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110514 - not 20 points higher.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110518 -         ..
110519 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110520 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110521 -        Stomach pain bloating unstable ANS...........   4         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
110522 -        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                                                                                                                                                                                                                                                                                                                                                                                         
110523 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110524 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110525 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110526 -        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                                                                                                                                                                                                                                                                                                                           
110527 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110528 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110529 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110530 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110531 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
110532 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110533 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
110534 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110535 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
110536 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110537 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110538 -        Shin splint pain right leg...................   4         30  continue 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110539 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110540 -        Knee left meniscus...PRP 210705..............   0        100  took Glucosamine Chondroitin knee not hurting beginning of hike, took 1 Naproxen 500 mg mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
110541 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110542 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110543 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110544 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110545 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110546 -        Knee right hyperextension....................   2        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110547 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110548 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110549 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110550 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110551 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110552 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110553 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110554 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110555 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110556 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110557 -        Metatarsalgia left foot...PRP 260403.........   1         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110558 -        Metatarsalgia right foot..PRP 260403.........   1         25  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110559 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110560 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
110561 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110562 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110563 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
110564 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
110565 -        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                                                                                                                                                                                                                                                                                                                           
110566 -        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                                                                                                                                                                                                                                                                                                                                                                                    
110567 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110568 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
110569 -        Callus big toe left foot.....................   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110570 -        Callus big toe right foot...PRP 210705.......   0        100  peeled large callus just before hike - stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110571 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110572 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
110573 -        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                                                                                                                                                                                                                                                                                                                                           
110574 -        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                                                                                                                                                                                                                                                                                                                                           
110575 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110576 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110577 -        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                                                                                                                                                                                                                                                                                                                                                                                        
110578 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
110579 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
110580 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110581 -        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                                                                                                                                                                                                                                                                                                                                                              
110582 -        Callus little toe #5 left foot...PRP 210705..   2         75  wearing Hoka Clifton 11 size 11.5 4x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110583 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
110584 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110585 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110586 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
110587 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110588 -        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                                                                                                                                                                                                                                                                                          
110589 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
110590 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110591 -        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                                                                                                                                                                                                                                                                                                                                                                               
110592 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110593 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110594 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110595 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110596 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110597 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110598 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110599 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
110600 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110601 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110605 -  ..
110606 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110607 - Fitville Rebound Core V1 Size 10.5 width 6E received on 260414 1105.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110608 - ref SDS C1 6DG1, and replacing new Hoka Clifton 11 shoes size 11.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110609 - width 4E, received on 260816 1511, ref SDS D1 EQ7K  Difficult hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110610 - mostly PL 4, right knee, and PL 3 metatarsalgia both feet, slowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110611 - pace - feet feel like walking on 2x4 wood blocks.  Slightly less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110612 - lateral pressure both feet because width 6E has more room than Clifton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110613 - 4E shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110615 -  ..
110616 - Orthotic inserts - continued wearing Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110617 - modified to prevent right knee hyperextension injury from collapsing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110618 - the knee inward diagnosed by Doctor Hewitson, as signaling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110619 - hyperextension, and who also modified the Powerstep insert at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110620 - time on 260928 0900. ref SDS E1 BHW2  Today, this seemed to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110621 - right knee pain during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110623 -  ..
110624 - Callus Injuries - Wider 6E shoes reduce lateral pressure slightly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110625 - short hike, yielded PL 0-2 entire hike, noticable improvement.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110626 - not need toecaps, because Doctor Hewitson removed extra padding on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110627 - Powerstep Protech Classic Thin inserts, which prevents the feet from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110628 - pressing on show cover that prevously caused blistering and calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110629 - on #345 metatarsals.  Bubble blister that occurred at mile 10 on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110630 - foot below #1, reported on 260908, per above. ref SDS 0 CF6T, has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110631 - resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110633 -  ..
110634 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110635 - switch from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110636 - socks.  Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110641 -  ..
110642 - Concord 13 mile route - took Glucosamine Chondroitin (GC) for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110643 - protection, mainly knees treated with PRP and Supartz intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110644 - injections 23 times, beginning on 170123; see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110645 - 0701, ref SDS 21 TTPV, and most recently PRP on 260911 1000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110646 - ref SDS D9 8FOX  GC equally aids left hip, which flares few times a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110647 - month.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110648 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110649 - and #5 calluses PL 0.  Right knee is PL 3 - see report to Doctor Dang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110650 - at VA Clinic in San Bruno and requesting MRI study, shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110651 - record on 260911 1000. ref SDS D9 KC7Z  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110652 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110653 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110654 - elevated EPCs regress plaque in blood vessels - see research on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110655 - 0701, ref SDS 21 QP6L  Took 2 CoQ10 100 mg capsules for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110656 - took 2 Turmeric Curcumin 2250 mg pills that resolve inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110657 - essential for HDL to rise.  Swallowed pills separately and whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110658 - combined with small amount avocado, mayonaise, peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110659 - margarine - pills slip through contracted LESV much better when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110660 - swallowed with food chewed to a slurry combined with sips of soft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110661 - drink.  About 20 minutes later, after dressing for hike, took liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110662 - Turmeric Curcumin and CoQ10 per above. ref SDS 0 WVY4  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110663 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110664 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110665 - ref SDS 21 136K  No breakfast reduces bloating starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110666 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110667 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110668 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110669 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110670 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110671 - and knee injuries.  Now that feet injuries are on the wane, may resume                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110672 - taking backpack after another few hikes.  Wore both Polar Grit X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110673 - GPS/HR monitor on left wrist, as usual, and wore new Garmin Fenix 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110674 - Pro, received on 260927 1540. ref SDS E0 9X5J. on right wrist to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110675 - evaluate for replacing Polar device, which has flipped out of mode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110676 - losing all hiking data, and is difficult to connect charge-and-data                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110677 - cable to launch the software due to poor design for data cable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110678 - connection.  The Polar Grit X GPS/HR device is very difficult to read                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110679 - in bright sunlight due to down level screen.  Garmin Fenix 9 Pro uses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110680 - AMOLED screen technology that is easily read in bright sun.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110681 - hiked mile loop around the block to identify bloating and feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110682 - issues that can be treated, before problems arise miles from home,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110683 - because bloating seemed PL 3, i.e., prominent.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110684 - and turned left, onto Treat.  At start feet feel less swelled like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110685 - pins and needles - did not feel electrical shocks in balls of feet due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110686 - to peripheral neuropathy caused by statins, diabetes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110687 - dysfunctional ANS.  These afflictions seem quiet the past weeks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110688 - hopefully signalling ANS instability is resolving.  Bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110689 - feet minor metatarsalgia pain - significant pain (> 5) - pain in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110690 - feet #1 and #5 have caused pausing hiking for injuries to heal past 60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110691 - days, see case study on 200101 0701. ref SDS 21 BGZV  Pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110692 - caused HDL 65 on 260302, lowering to HDL 51 in recent lab on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110693 - Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110694 - conditioning has sustained, despite reduced.  Notably have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110695 - hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110696 - uphill to Cliff House and on Point Lobos for .25 mile returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110697 - hospital.  Temperature started at 69, and reached 92.  West wind 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110698 - mph and mostly 3 mph, which was cooling at times; in fact heat was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110699 - debilitating last 3 miles, resulting in cutting hike short 8 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110700 - Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110701 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110702 - some places 3% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110703 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110704 - uphill 4% grade.  Then turned left onto Ayers hiking on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110705 - East .75 miles on asphalt road shoulder.  At mile 5, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110706 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110707 - of shopping complex.  Hiked across parking lot at Lucky store for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110708 - extra distance (only 150 yards).  Did not stop to buy banana with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110709 - potassium that complements meds for energy, and aids swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110710 - to slip through tightening LESV, after EGD dilation on 260821.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110711 - back to Clayton.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110712 - on concrete sidewalk .5 miles.  Energy conflicting -- pace slowed to 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110713 - miles per minute, was passed by someone.  Could not keep up - may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110714 - align with ANS lowering HRV below critical level to sustain energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110715 - As well, did not feel need to stop at mile 5 time ____ in Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110716 - Mike's Pizza restaurant to take meds for energy to hike, which was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110717 - occurring regularly, when Ferritin was below range, cited earlier this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110718 - year on 260106, in case study on 200101 0701. ref SDS 21 5EUR, and in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110719 - letter to medical team last year on 250525 1018. ref SDS 98 QG55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110720 - Turned right going West on Ygnacio Valley Road using concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110721 - .5 miles.  Continued past Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110722 - heading West .25 miles on very narrow asphalt shoulder with heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110723 - morning commute traffic.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110724 - hiking on wider shoulder past stop light at Michigan Boulevard.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110725 - another .25 miles to Chevron gas station and store.  At mile 7, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110726 - left onto Pine Hollow.  Hiked East .15 miles.  Crossed street at break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110727 - in traffic.  Hiked back and turned West onto Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110728 - Temperature nearing 90 became a factor lowering energy - likely in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110729 - compounding ANS effects.  Continued 1 mile uphill 3% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110730 - wind 04 mph.  The road bends North.  Turned left heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110731 - Ygnacio Valley road on flat grade .5 miles.  Turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110732 - Ranch Road hiking South uphill 5% grade.  Normally hike 2.5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110733 - end at top of mountain in residential development.  Today, had to turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110734 - around only about .25 miles and hike back.  Turned left continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110735 - West on Ygnacio Valley road .5 mile uphill 3% grade against wind 02                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110736 - mph - temp 92.  Not feeling well, so did not continue past Cowell up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110737 - to the summit, and in order to avoid further overexertion, which can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110738 - compound HRV adverse affect on ANS.  Turned right hiking .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110739 - downhill 5% grade, then .25 mile flat grade.  Continued .5 mile with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110740 - no shoulder separating vehicle traffic, challenging during afternoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110741 - commute.  Turned left onto Treat for .25 mile; turned right on Cunio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110742 - and home.  Ended hike mile 13 time 1033 temp 92, wind 06, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110743 - 3, energy deficit 3, feet metatarsalgia PL 3, left foot #1 edge PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110744 - #5 edge PL 0, right foot #1 PL 0, #5 PL 3, top #3, #4 blistering PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110745 - burning sensation PL 0.  Left knee meniscus PL 0, right knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110746 - PL 0, hyperextended possible cruciate ligament PL 4.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110747 - uniform with minor artifact.  Kardia reported HR 111 Tachycardia, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110748 - below. ref SDS 0 QYBZ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110758 -  ..
110759 - Kardia recorded HR 064 at 1351, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110760 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110761 - likely no AFL after hiking 13 miles temp 92, yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110762 - ref SDS 0 WVY4, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110763 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110764 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110765 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110766 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110769 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110770 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261004-ecg-135109_mile_00_064_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110777 -  ..
110778 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110779 - California, hike 13 miles with max temperature 92, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110780 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110782 - ..
110783 -                                                                                                                                                                                                                                                                                                              x
110784 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110785 -                                                                                    w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110786 -                     x                                         y                    w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110787 -       Date          261003 261002 261001 260930 260929 260928 260927 260926 260925 260924 260923 260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 260718 260717 260716 260715 26071  
110788 -       Miles            13     26     17     16     26      0     26      0     26     14     26     13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0      0     15      0      0  
110789 -       Minutes         208           272    263                                       237           226                         243    179    289                                                     211    413    338    331           278           325           352           422                         306                         338                  319                  389                  286                                300           341    344    271    222    246    200    274           100                  191                                387                  240                
110790 -       HR AVG          116     no    116    130     no     no     no     no     no    112     no    118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no     no    117     no     no  
110791 -  **     MAX           137   report  143    152   report report report report report  143   report  136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   report report  136   report repo  
110792 -         Min            90            71     92                                        76            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77                   85                
110793 -       El Climb Ft     425           560    455                                       575           425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635                  605                
110794 -       Temp Max         92            95     94                                        59            80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85                   88                
110795 -       Wind Max         06            07     07                                        03            07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12                   12                
110796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110799 -              https://flow.polar.com/training/analysis/8433103272                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110802 -               ..
110804 -   
110805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110807 -  ..
110808 - End hike EKG at mile 13, time 1033 HR 111 temp 92, wind 06; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110809 - reported Tachycardia, heart rate looks uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110810 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110813 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110814 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261003-ecg-103330_mile_13_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110819 -  ..
110820 - Post hike HR profile beginning 1954, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110821 - hiking  0 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110822 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110823 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110824 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110825 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110829 -        ..
110830 -       Date      261004  261003  261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726  260725    
110831 -       Time       1954    2101    1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847    1957     
110832 -       Hours        13      10       8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8      12     
110833 -       HR AVG       64      60      74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63      64     
110834 -       HR MAX      135     102     130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     116     
110835 -       HR Min       38      38      39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39      38     
110836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110840 -              https://flow.polar.com/training/analysis/8434283805                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110843 -  ..
110844 - HRV seems  0% 0 and  30% good and  70% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110848 -   
110849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110852 -  ..
110853 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110854 - Lunch - macaroni cheese hamburger eggs cottage cheese onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110855 - Dinner - steak eggs broccoli potato onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110857 -  ..
110858 - Vomiting: 0% - bloating PL 3 pliable worse voice closer to normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110909 -         ..
110910 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110911 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110912 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110913 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110914 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110915 -  132.  261005 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110916 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110917 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
110918 -               0725....BP HR..................................................... 172  84  68  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110919 -               0730....BP HR..................................................... 169  76  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110920 -               0735....BP HR..................................................... 157  80  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110921 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110922 -               0000...
110923 -  ..
110924 -               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                                                                                                                                                                                                                                                                                  
110925 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
110926 -               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                                                                                                                                                                                                                                                                                                                                                                                   
110927 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110928 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110929 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110930 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110931 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110932 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110933 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110934 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110937 -  ..
110938 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110939 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110941 -  ..
110942 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110943 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110944 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110945 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110946 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110947 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110949 -  ..
110950 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110951 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110953 -  ..
110954 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110955 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110957 -  ..
110958 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110959 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110964 -  ..
110965 - Kardia recorded HR 051 at 1030, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110966 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110967 - likely no AFL after hiking  0 miles temp __, yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110968 - ref SDS 0 2N7F, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110969 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110970 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110971 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110972 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110975 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110976 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261005-ecg-103043_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110981 -  ..
110982 - Post hike HR profile beginning 0240, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110983 - hiking  0 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110984 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110985 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110986 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110987 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110991 -        ..
110992 -       Date      261005  261004  261003  261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727  260726    
110993 - nxt   Time       0240    1954    2101    1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026    1847     
110994 - day   Hours         6      13      10       8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11       8     
110995 -       HR AVG       61      64      60      74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57      63     
110996 -       HR MAX      102     135     102     130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100      98     
110997 -       HR Min       37      38      38      39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35      39     
110998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111002 -              https://flow.polar.com/training/analysis/8434956297                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111005 -  ..
111006 - HRV seems  0% 0 and  50% good and  50% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111010 -   
111011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111014 -  ..
111015 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111016 - Lunch - macaroni cheese hamburger eggs cottage cheese onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111017 - Dinner - steak eggs broccoli potato onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111019 -  ..
111020 - Vomiting: 0% - bloating PL 4 less pliable worse voice Below normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111072 -         ..
111073 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111074 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111075 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111076 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111077 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111078 -  132.  261006 0715............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111079 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111080 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
111081 -               0725....BP HR..................................................... 149  79  69  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111082 -               0730....BP HR..................................................... 148  76  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111083 -               0735....BP HR..................................................... 142  71  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111084 -               0740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111085 -               0000...
111086 -  ..
111087 -               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                                                                                                                                                                                                                                                                                  
111088 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
111089 -               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                                                                                                                                                                                                                                                                                                                                                                                   
111090 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111091 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111092 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111093 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111094 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111095 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111096 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111097 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111100 -  ..
111101 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111102 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111104 -  ..
111105 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111106 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111107 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111108 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111109 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111110 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111112 -  ..
111113 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111114 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111116 -  ..
111117 - Swallowing - improved but still difficult after EGD Dilation procedure on 260821 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111118 - ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111120 -  ..
111121 - Reflux slept in bed 90%, and in recliner chair 10% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111122 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111128 -  ..
111129 - Kardia recorded HR 051 at 1105, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111130 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111131 - likely no AFL after hiking  0 miles temp __, yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111132 - ref SDS 0 2N7F, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111133 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111134 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111135 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111136 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111139 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111140 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261006-ecg-110508_mile_00_070_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111144 -  ..
111145 - Post hike HR profile beginning 1941, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111146 - hiking  0 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111147 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111148 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111149 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111150 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111154 -        ..
111155 -       Date      261006  261005  261004  261003  261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728  260727    
111156 - nxt   Time       1941    0240    1954    2101    1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014    2026     
111157 - day   Hours        11       6      13      10       8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8      11     
111158 -       HR AVG       69      61      64      60      74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63      57     
111159 -       HR MAX      106     102     135     102     130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     100     
111160 -       HR Min       37      37      38      38      39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38      35     
111161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111165 -              https://flow.polar.com/training/analysis/8435532845                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111168 -  ..
111169 - HRV seems 20% 0 and  40% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111173 -   
111174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111177 -  ..
111178 - Breakfast - pancakes eggs milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111179 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111180 - Dinner - macaroni & cheese steak eggs broccoli potato onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111182 -  ..
111183 - Vomiting: 0% - bloating PL 4 less pliable worse voice Below normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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111228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111237 -         ..
111238 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111239 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111240 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111241 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111242 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111243 -  132.  261007 0710............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111244 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111245 -               0720....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
111246 -               0725....BP HR..................................................... 159  80  55  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111247 -               0730....BP HR..................................................... 155  77  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111248 -               0735....BP HR..................................................... 156  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111249 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111250 -               0815....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111251 -               0815....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
111252 -               0815... CoQ10 200 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111253 -               0815....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111254 -               0815....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111255 -               0815....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111256 -               0920....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111257 -               0920... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111258 -               0920....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
111259 -               0000...
111260 -  ..
111261 -               0927....miles...........  14.0  14.0  231   231 minutes  temp  98 wind 07  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111262 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111263 -               1142....mile 07 stopped EKG ... banana (not avocado mayonaise margarine peanut butter) swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111264 -               1142....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111265 -               1142... Magnesium 300 mg 4 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111266 -               1142... CoQ10 200 mg Ubiquinol took 2 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111267 -               1142....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
111268 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111269 -               1142... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111270 -               1142... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111271 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111272 -               1410... Hike ends mile 14... ref SDS 0 YF1R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111273 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111274 -               1425....weight.................................... 181  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111275 -               1430....BP HR..................................................... 107  61 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111276 -               1435....BP HR..................................................... 110  70 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111277 -               1440....BP HR..................................................... 109  69 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111278 -               0000...
111279 -  ..
111280 -               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                                                                                                                                                                                                                                                                                  
111281 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
111282 -               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                                                                                                                                                                                                                                                                                                                                                                                   
111283 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111284 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111285 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111286 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111287 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111288 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111289 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111290 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111293 -  ..
111294 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111295 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111297 -  ..
111298 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111299 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111300 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111301 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111302 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111303 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111305 -  ..
111306 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111307 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111309 -  ..
111310 - Swallowing - improved but still difficult after EGD Dilation on 260821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111311 - 0830. ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111313 -  ..
111314 - Reflux slept in bed 80%, and in recliner chair 20% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111315 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111319 -  ..
111320 - Summary... 1st hike in 3 days, need work for tomorrow hiking GGP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111321 - pulling the hill on Point Lobos back to the hospital, before seeing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111322 - Doctor Tang in Podiatry.  Feel like have more energy today starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111323 - hike, though bloated.  Since getting up at 0100 for going to hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111324 - tomorrow, skipped hiking to end of Pine Hollow, and up to college for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111325 - strength work on exercise equipment.  Did only short lift up Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111326 - Ranch road.  The main impression today, was how much better feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111327 - wearing Clifton 11 shoes today, than previously.  Temperature was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111328 - again primary limitation on hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111331 -         ..
111332 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111333 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111334 -        Stomach pain bloating unstable ANS...........   4         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
111335 -        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                                                                                                                                                                                                                                                                                                                                                                                         
111336 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111337 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111338 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111339 -        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                                                                                                                                                                                                                                                                                                                           
111340 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111341 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111342 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111343 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111344 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
111345 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111346 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
111347 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111348 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
111349 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111350 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111351 -        Shin splint pain right leg...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111352 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111353 -        Knee left meniscus...PRP 210705..............   2         10  noticed end of hike; odd have not had left knee pain in years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111354 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111355 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111356 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111357 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111358 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111359 -        Knee right hyperextension....................   2        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111360 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111361 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111362 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111363 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111364 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111365 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111366 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111367 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111368 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111369 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111370 -        Metatarsalgia left foot...PRP 260403.........   1         20  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111371 -        Metatarsalgia right foot..PRP 260403.........   1         20  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111372 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111373 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
111374 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111375 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111376 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
111377 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
111378 -        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                                                                                                                                                                                                                                                                                                                           
111379 -        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                                                                                                                                                                                                                                                                                                                                                                                    
111380 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111381 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
111382 -        Callus big toe left foot.....................   0        100  wearing Clifton 11 size 11.5 callus pulling loose taking Tumeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111383 -        Callus big toe right foot...PRP 210705.......   0        100  wearing Clifton 11 size 11.5 callus pulling loose taking Tumeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111384 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111385 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
111386 -        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                                                                                                                                                                                                                                                                                                                                           
111387 -        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                                                                                                                                                                                                                                                                                                                                           
111388 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111389 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111390 -        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                                                                                                                                                                                                                                                                                                                                                                                        
111391 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
111392 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
111393 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111394 -        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                                                                                                                                                                                                                                                                                                                                                              
111395 -        Callus little toe #5 left foot...PRP 210705..   2         75  wearing Hoka Clifton 11 size 11.5 4x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111396 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
111397 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111398 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111399 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
111400 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111401 -        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                                                                                                                                                                                                                                                                                          
111402 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
111403 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111404 -        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                                                                                                                                                                                                                                                                                                                                                                               
111405 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111406 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111407 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111408 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111409 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111410 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111411 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111412 -        Wobbly disoriented staggering dizzy..........   0        100  after 3 Naproxen at mile 8 got little wobbly, then a 2nd Naproxen mile 17 coming down Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                          
111413 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111414 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111418 -  ..
111419 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111420 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111421 - ref SDS D1 EQ7K, and replacing new Fitville Rebound Core V1 Size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111422 - width 6E received on 260414 1105. ref SDS C1 6DG1  Clifton's much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111423 - better ride good rebound energy and metatarsalgia PL 1 - 2, all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111424 - way, compared with PL 3 - 4 wearing Rebound Core V1 shoes that feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111425 - like walking on 2x4 wood blocks.  Dod mpt notice slightly more lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111426 - pressure both feet because Rebound Core V1 shoes width 6E has more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111427 - room than Clifton 4E shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111429 -  ..
111430 - Orthotic inserts - continued wearing Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111431 - modified to prevent right knee hyperextension injury from collapsing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111432 - the knee inward diagnosed by Doctor Hewitson, as signaling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111433 - hyperextension, and who also modified the Powerstep insert at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111434 - time on 260928 0900. ref SDS E1 BHW2  Today, this seemed to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111435 - right knee pain during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111437 -  ..
111438 - Callus Injuries - Narrower 4E shoes increased lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111439 - slightly on medium hike, yielded PL 0-2 entire hike, no noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111440 - increased pain.  Did not need toecaps, because Doctor Hewitson removed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111441 - extra padding on Powerstep Protech Classic Thin inserts, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111442 - prevents the feet from pressing on shoe cover material that prevously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111443 - caused blistering and calluses on #345 metatarsals.  Bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111444 - that occurred at mile 10 on right foot below #1, reported on 260908,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111445 - per above. ref SDS 0 CF6T, has resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111447 -  ..
111448 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111449 - switch from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111450 - socks.  Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111455 -  ..
111456 - Concord 14 mile route - took Glucosamine Chondroitin (GC) for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111457 - protection, mainly knees treated with PRP and Supartz intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111458 - injections 23 times, beginning on 170123; see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111459 - 0701, ref SDS 21 TTPV, and most recently PRP on 260911 1000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111460 - ref SDS D9 8FOX  GC equally aids left hip, which flares few times a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111461 - month.  Took 1 Naproxen 500 mg for pain management - there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111462 - metatarsalgia pain in feet starting the hike today, and both feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111463 - and #5 calluses PL 0.  Right knee is PL 1 - see report to Doctor Dang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111464 - at VA Clinic in San Bruno and requesting MRI study, shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111465 - record on 260911 1000. ref SDS D9 KC7Z  Took 4 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111466 - mg pills for energy and absorbing lactic acid that enable hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111467 - reduce inflammation, all enabling HDL to increase, and together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111468 - elevated EPCs regress plaque in blood vessels - see research on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111469 - 0701, ref SDS 21 QP6L  Took 2 CoQ10 200 mg capsules for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111470 - received on 261005 1614, ref SDS E2 KA5G, trying instead of 100 mg;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111471 - and took 2 Turmeric Curcumin 2250 mg pills that resolve inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111472 - essential for HDL to rise.  Swallowed pills separately and whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111473 - combined with small amount avocado, mayonaise, peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111474 - margarine - pills slip through contracted LESV much better when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111475 - swallowed with food chewed to a slurry combined with sips of soft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111476 - drink.  About 20 minutes later, after dressing for hike, took liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111477 - Turmeric Curcumin and CoQ10 per above. ref SDS 0 1MEF  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111478 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111479 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111480 - ref SDS 21 136K  No breakfast reduces bloating starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111481 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111482 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111483 - variable heart rate) see case study on 200101 0701. ref SDS 21 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111484 - Did not take backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111485 - Half Dome - because extra weight increases pressure that causes feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111486 - and knee injuries.  Now that feet injuries are on the wane, may resume                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111487 - taking backpack after another few hikes.  Wore both Polar Grit X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111488 - GPS/HR monitor on left wrist, as usual, and wore new Garmin Fenix 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111489 - Pro, received on 260927 1540. ref SDS E0 9X5J. on right wrist to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111490 - evaluate for replacing Polar device, which has flipped out of mode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111491 - losing all hiking data, and is difficult to connect charge-and-data                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111492 - cable to launch the software due to poor design for data cable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111493 - connection.  The Polar Grit X GPS/HR device is very difficult to read                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111494 - in bright sunlight due to down level screen.  Garmin Fenix 9 Pro uses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111495 - AMOLED screen technology that is easily read in bright sun.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111496 - hiked mile loop around the block to identify bloating and feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111497 - issues that can be treated, before problems arise miles from home,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111498 - because bloating seemed PL 3, i.e., prominent.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111499 - and turned left, onto Treat.  At start feet feel less swelled like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111500 - pins and needles - did not feel electrical shocks in balls of feet due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111501 - to peripheral neuropathy caused by statins, diabetes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111502 - dysfunctional ANS.  These afflictions seem quieter the past weeks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111503 - hopefully signalling ANS instability is resolving.  Bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111504 - feet minor metatarsalgia pain - significant pain (> 5) - pain in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111505 - feet #1 and #5 have caused pausing hiking for injuries to heal past 90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111506 - days, see case study on 200101 0701. ref SDS 21 BGZV  Pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111507 - caused HDL 65 on 260302, lowering to HDL 51 in recent lab on 260727.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111508 - Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111509 - conditioning has sustained, despite reduced.  Notably have not been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111510 - hiking Crystal Ranch Road, resulting in dyspnea on 260727, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111511 - uphill to Cliff House and on Point Lobos for .25 mile returning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111512 - hospital.  Temperature started at 69, and reached 98.  West wind 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111513 - mph and mostly 3 mph, which was cooling at times; in fact heat was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111514 - debilitating last 3 miles, resulting in cutting hike short 8 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111515 - Continued East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111516 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111517 - some places 3% uphill, and very light traffic.  Hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111518 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111519 - 4% grade.  Then turned left onto Ayers hiking on flat grade East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111520 - miles on asphalt road shoulder.  At mile 5, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111521 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111522 - shopping complex.  Did not hike across parking lot at Lucky store for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111523 - extra distance (only 150 yards).  Did not stop to buy banana with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111524 - potassium that complements meds for energy, and aids swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111525 - to slip through tightening LESV, after EGD dilation on 260821.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111526 - back to Clayton.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111527 - on concrete sidewalk .5 miles.  As well, did not feel need to stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111528 - mile 5 time ____ in Mountain Mike's Pizza restaurant to take meds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111529 - energy to hike, which was occurring regularly, when Ferritin was below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111530 - range, cited earlier this year on 260106, in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111531 - 0701. ref SDS 21 5EUR, and in letter to medical team last year on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111532 - 250525 1018. ref SDS 98 QG55  Turned right going West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111533 - Valley Road using concrete sidewalk .5 miles.  Continued past Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111534 - Highlands Road at Stop Light and heading West .25 miles on very narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111535 - asphalt shoulder with heavy morning commute traffic (now at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111536 - post-commute level).  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111537 - on wider shoulder past stop light at Michigan Boulevard.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111538 - another .25 miles continuing West on Ygnacio Valley Road.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111539 - Chevron gas station store mile 07, time 1142 temp 85 and wind 02 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111540 - EKG looks uniform with moderate artifact.  Kardia reported HR 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111541 - Tachycardia, - see below. ref SDS 0 EHBZ  Bloating PL 4, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111542 - metatarsalgia PL 1 (feet feel good).  Left foot #1 PL 0 and #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111543 - Right foot #5 PL 2; top of #3, #4, #5 PL 0, right knee PL 3.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111544 - Naproxen 500 mg total today 2 for pain.  Took 2 Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111545 - mg pills - total today 6 - for energy, absorbing lactic acid, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111546 - research on 200101 0701. ref SDS 21 QP6L  Took 1 Turmeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111547 - 2250 mg - total today 3 - to reduce inflammation.  Took 1 CoQ10 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111548 - - total today 3 - to increase energy.  Sips softdrink purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111549 - Chev store for hydration and swallowing nutrition - banana for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111550 - potassium - enables swallowing medication pills together forming a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111551 - slurry that slips through LESV now contracted due to achalasia, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111552 - dilation procedure on 260821. 260821 0830, ref SDS D3 433O  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111553 - Ubiquinol CoQ10 0.6 ml liquid for HDL and energy to continue hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111554 - Took Nuun electrolyte pill; all per above. ref SDS 0 HCDG  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111555 - hiking .5 miles East on Ygnacio Valley road.  Vomiting along dirt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111556 - trail next to road.  At Michigan Boulevard hiked back and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111557 - on Pine Hollow, and crossed the street heading West on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111558 - Temperature over 90, became a factor lowering energy - likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111559 - compounding ANS effects.  Continued 1 mile uphill 3% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111560 - wind 04 mph.  The road bends North.  Turned left heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111561 - Ygnacio Valley road on flat grade. .5 miles.  Turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111562 - Ranch Road hiking South uphill 5% grade.  Normally hike 2.5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111563 - end at top of mountain in residential development.  Today, had to turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111564 - around after .25 miles and hike back.  Turned left continuing West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111565 - Ygnacio Valley road .5 mile uphill 3% grade against wind 06 mph - temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111566 - 98.  Hiked past Cowell up uphill to the summit.  Mile 11 turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111567 - hiked back to Cowell.  Turned left hiking .25 mile downhill 5% grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111568 - then .25 mile flat grade.  Continued .5 mile with no shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111569 - separating vehicle traffic, challenging during afternoon commute.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111570 - Turned left onto Treat for .25 mile; turned right on Cunio.  Hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111571 - mile and turned around on Kaski, hiked back to Cunio and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111572 - hike mile 14 time 1410 temp 95, wind 07, bloating PL 4, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111573 - 2, feet metatarsalgia PL 1, left foot #1 edge PL 0, #5 edge PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111574 - right foot #1 PL 0, #5 PL 1, top #3, #4 blistering PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111575 - sensation PL 0.  Left knee meniscus PL 2, right knee meniscus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111576 - hyperextended possible cruciate ligament PL 3.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111577 - uniform with minor artifact.  Kardia reported HR 139 Tachycardia, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111578 - below. ref SDS 0 YF1R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111588 -  ..
111589 - Kardia recorded HR 051 at 0804, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111590 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111591 - likely no AFL after hiking  0 miles temp __, yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111592 - ref SDS 0 9D2C, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111593 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111594 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111595 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111596 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111599 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111600 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261007-ecg-080458_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111607 -  ..
111608 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111609 - California, hike 14 miles with max temperature 98, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111610 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111612 - ..
111613 -                                                                                                                                                                                                                                                                                                              x
111614 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111615 -                                                                                    w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111616 -                     x                           x             y                    w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111617 -       Date          261007 261006 261005 261040 261003 261002 261001 260930 260929 260928 260927 260926 260925 260924 260923 260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 260719 26071  
111618 -       Miles            13     26      0     26     13     26     17     16     26      0     26      0     26     14     26     13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23      0  
111619 -       Minutes         231                         208           272    263                                       237           226                         243    179    289                                                     211    413    338    331           278           325           352           422                         306                         338                  319                  389                  286                                300           341    344    271    222    246    200    274           100                  191                                387         
111620 -       HR AVG          121     no     no     no    116     no    116    130     no     no     no     no     no    112     no    118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115     no  
111621 -  **     MAX           146   report report report  137   report  143    152   report report report report report  143   report  136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136   repo  
111622 -         Min            50                          90            71     92                                        76            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77         
111623 -       El Climb Ft     490                         425           560    455                                       575           425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635         
111624 -       Temp Max         98                          92            95     94                                        59            80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85         
111625 -       Wind Max         07                          06            07     07                                        03            07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12         
111626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111629 -              https://flow.polar.com/training/analysis/8435843205                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111632 -               ..
111634 -   
111635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111639 -  ..
111640 - EKG at mile 07 time 1142, HR 115 BPM, temp 85, wind 02; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111641 - reported Tachycardia... heart rate looks uniform with moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111642 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111645 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111646 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261007-ecg-114235_mile_07_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111651 -  ..
111652 - End hike EKG at mile 14, time 1410 HR 129 temp 95, wind 07; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111653 - reported Tachycardia, heart rate looks uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111654 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111657 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111658 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261007-ecg-141005_mile_14_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111663 -  ..
111664 - Post hike HR profile beginning 1741, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111665 - hiking 14 miles with temperature  98, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111666 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111667 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111668 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111669 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111673 -        ..
111674 -       Date      261007  261006  261005  261004  261003  261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729  260728    
111675 -       Time       1741    1941    0240    1954    2101    1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954    2014     
111676 -       Hours         7      11       6      13      10       8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6       8     
111677 -       HR AVG       71      69      61      64      60      74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60      63     
111678 -       HR MAX      112     106     102     135     102     130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     108     
111679 -       HR Min       53      37      37      38      38      39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39      38     
111680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111684 -              https://flow.polar.com/training/analysis/8435990491                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111687 -  ..
111688 - HRV seems 40% 0 and  20% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111692 -   
111693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111696 -  ..
111697 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111698 - Lunch - banana with hiking meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111699 - Dinner - macaroni & cheese steak eggs broccoli potato onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111701 -  ..
111702 - Vomiting: 0% - bloating PL 2 more pliable worse voice close normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111756 -         ..
111757 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111758 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111759 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111760 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111761 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111762 -  132.  261008 0050............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111763 -               0055....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111764 -               0100....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
111765 -               0105....BP HR..................................................... 168  68  52  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111766 -               0110....BP HR..................................................... 153  79  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111767 -               0115....BP HR..................................................... 161  81  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111768 -               0120....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111769 -               0125....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111770 -               0315....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111771 -               0315....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
111772 -               0315... CoQ10 200 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111773 -               0315....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111774 -               0315....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111775 -               0320....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111776 -               0320... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111777 -               0320....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
111778 -               0000...
111779 -  ..
111780 -               0337....miles...........  12.0  26.0  231   231 minutes  temp  62 wind 07  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111781 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111782 -               0513....mile 06 stopped EKG ... banana (not avocado mayonaise margarine peanut butter) swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111783 -               0513....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111784 -               0513... Magnesium 300 mg 4 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111785 -               0513... CoQ10 200 mg Ubiquinol took 2 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111786 -               0513....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
111787 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111788 -               0513... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111789 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111790 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111791 -               0704... Hike ends mile 12... ref SDS 0 YFA8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111792 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111793 -               0715....weight.................................... 183  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111794 -               0720....BP HR..................................................... 109   63 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111795 -               0725....BP HR..................................................... 101   65 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111796 -               0730....BP HR..................................................... 117   72  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111797 -               0000...
111798 -  ..
111799 -               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                                                                                                                                                                                                                                                                                  
111800 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
111801 -               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                                                                                                                                                                                                                                                                                                                                                                                   
111802 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111803 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111804 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111805 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111806 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111807 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111808 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111809 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111812 -  ..
111813 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111814 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111816 -  ..
111817 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111818 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111819 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111820 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111821 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111822 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111824 -  ..
111825 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111826 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111828 -  ..
111829 - Swallowing - improved but still difficult after EGD Dilation on 260821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111830 - 0830. ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111832 -  ..
111833 - Reflux slept in bed 30%, and in recliner chair 70% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111834 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111838 -  ..
111839 - Summary... drove to VAMCSF; while in car before starting hike had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111840 - nutrition hydration and meds.  Hiked only beyond De Young - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111841 - around at mile 6, instead of on Stanyon.  Right knee PL 2 going out,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111842 - good pace, possibly upgrading CoQ10 pills from 100 mg to 200 mg.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111843 - Raced color guard hiking through park with 30# backpacks - quite a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111844 - sight.  Hiked back uphill on Great Highway to Cliff House and then on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111845 - Point Lobos to hospital went well - no stopping to rest, and breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111846 - through nose entire way back; no dyspena.  Big improvement, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111847 - missing hiking past 10 days for hyperextended right knee to heal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111848 - Hiking with new orthotic inserts received from Doctor Hewitson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111849 - 260727, with Hoka Clifton 11 Size 11.5 width 4E shoes caused minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111850 - lateral pressure on edges of #1s and #5s, with moderate pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111851 - top of #4s and #5s - no new or worsened calluses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111854 -         ..
111855 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111856 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111857 -        Stomach pain bloating unstable ANS...........   4         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
111858 -        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                                                                                                                                                                                                                                                                                                                                                                                         
111859 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111860 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111861 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111862 -        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                                                                                                                                                                                                                                                                                                                           
111863 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111864 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111865 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111866 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111867 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
111868 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111869 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
111870 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111871 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
111872 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111873 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111874 -        Shin splint pain right leg...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111875 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111876 -        Knee left meniscus...PRP 210705..............   2         10  noticed end of hike; odd have not had left knee pain in years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111877 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111878 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111879 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111880 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111881 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111882 -        Knee right hyperextension....................   2        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111883 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111884 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111885 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111886 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111887 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111888 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111889 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111890 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111891 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111892 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111893 -        Metatarsalgia left foot...PRP 260403.........   1         20  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111894 -        Metatarsalgia right foot..PRP 260403.........   1         20  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111895 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111896 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
111897 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111898 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111899 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
111900 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
111901 -        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                                                                                                                                                                                                                                                                                                                           
111902 -        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                                                                                                                                                                                                                                                                                                                                                                                    
111903 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111904 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
111905 -        Callus big toe left foot.....................   0        100  wearing Clifton 11 size 11.5 callus pulling loose taking Tumeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111906 -        Callus big toe right foot...PRP 210705.......   0        100  wearing Clifton 11 size 11.5 callus pulling loose taking Tumeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111907 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111908 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
111909 -        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                                                                                                                                                                                                                                                                                                                                           
111910 -        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                                                                                                                                                                                                                                                                                                                                           
111911 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111912 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111913 -        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                                                                                                                                                                                                                                                                                                                                                                                        
111914 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
111915 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
111916 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111917 -        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                                                                                                                                                                                                                                                                                                                                                              
111918 -        Callus little toe #5 left foot...PRP 210705..   2         75  wearing Hoka Clifton 11 size 11.5 4x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111919 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
111920 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111921 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111922 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
111923 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111924 -        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                                                                                                                                                                                                                                                                                          
111925 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
111926 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111927 -        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                                                                                                                                                                                                                                                                                                                                                                               
111928 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111929 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111930 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111931 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111932 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111933 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111934 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111935 -        Wobbly disoriented staggering dizzy..........   2        100  reflecting 2 hours sleep - little difficult getting home after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111936 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111937 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111941 -  ..
111942 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111943 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111944 - ref SDS D1 EQ7K, and replacing new Fitville Rebound Core V1 Size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111945 - width 6E received on 260414 1105. ref SDS C1 6DG1  Clifton's much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111946 - better ride good rebound energy and metatarsalgia PL 1 - 2, all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111947 - way, compared with PL 3 - 4 wearing Rebound Core V1 shoes that feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111948 - like walking on 2x4 wood blocks.  Dod mpt notice slightly more lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111949 - pressure both feet because Rebound Core V1 shoes width 6E has more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111950 - room than Clifton 4E shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111952 -  ..
111953 - Orthotic inserts - continued wearing Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111954 - modified to prevent right knee hyperextension injury from collapsing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111955 - the knee inward diagnosed by Doctor Hewitson, as signaling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111956 - hyperextension, and who also modified the Powerstep insert at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111957 - time on 260928 0900. ref SDS E1 BHW2  Today, this seemed to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111958 - right knee pain during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111960 -  ..
111961 - Callus Injuries - Narrower 4E shoes increased lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111962 - slightly on medium hike, yielded PL 0-2 entire hike, no noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111963 - increased pain.  Did not need toecaps, because Doctor Hewitson removed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111964 - extra padding on Powerstep Protech Classic Thin inserts, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111965 - prevents the feet from pressing on shoe cover material that prevously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111966 - caused blistering and calluses on #345 metatarsals.  Bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111967 - that occurred at mile 10 on right foot below #1, reported on 260908,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111968 - per above. ref SDS 0 CF6T, has resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111970 -  ..
111971 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111972 - switch from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111973 - socks.  Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111978 -  ..
111979 - San Francisco 13 mile route, reported on 170519, ref SDS 9 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111980 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111981 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111982 - injection 16 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111983 - and most recently by VA on 260911 1000. ref SDS D9 86B3  Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111984 - Chondroitin also protects left hip, which flares few times a month, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111985 - on 260814.  On arriving at the hospital, took 1 Naproxen 500 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111986 - pain management.  No metatarsalgia pain in feet starting hike today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111987 - and both feet #1 and #5 calluses PL 0 - were shaved down by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111988 - Tang in VAMC Podiatry on 260910 1100, ref SDS D8 5Q5M, and now pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111989 - treatment again today, after hike on 261008 0900.  Left foot #1 #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111990 - calluses growing again, possibly more slowly; but, less lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111991 - pressure wearing Hoka Clifton 11 shoes, and did not wear toe caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111992 - today, per above. ref SDS 0 UBEN  Took 4 Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111993 - pills for cellular energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111994 - inflammation, all to enable hiking that increases HDL and EPCs, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111995 - together regress plaque in blood vessels - see research on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111996 - 0701, ref SDS 21 QP6L  Took 2 CoQ10 200 mg capsules for energy - CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111997 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111998 - chain (ETC) giving human cells energy, and protects heart tissue from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111999 - harmful free radicals and stress - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112000 - ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills to resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112001 - inflammation, essential for HDL to rise - see again case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112002 - 200101 0701. ref SDS 21 NKSY  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112003 - hydration and swallowing nutrition - swallowed pills separately (1 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112004 - a time) and whole combined with bites of avodado, margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112005 - mayonaise, peanut butter, - pills slip through LESV easier when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112006 - swallowed combined with food chewed to a slurry combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112007 - carbonated softdrink.  Took liquid Turmeric Curcumin and Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112008 - CoQ10, all per above. ref SDS 0 YXWB  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112009 - starting hike from ischemic colitis caused by taking statins and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112010 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112011 - (arrhythmia - variable heart rate from dysfunctional ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112012 - cardiac ablation on 240611) see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112013 - O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112014 - conditioning for Half Dome - because extra weight increases pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112015 - that causes feet injuries, e.g., calluses.  Temperature mild 58 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112016 - Southerly wind 02 mph.  Departed VAMCSF campus in dark at 0337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112017 - foggy.  Hiked slowly downhill on 42nd Street to warm up, and to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112018 - increasing injury to right knee.  Turned corner heading downhill West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112019 - on Point Lobos to Cliff House at mile 1.  Road bends and changes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112020 - "Great Highway" going South along ocean beach.  Pace picked up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112021 - CoQ10 and magnesium digested and increased strength.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112022 - turned East onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112023 - Maintained pace going slightly uphill into the park for .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112024 - Turned corner and continued East on JFK.  Dark and with few widely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112025 - spaced street lights, cannot see the road.  Actually, seemed there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112026 - were fewer street lights active this morning.  Maybe the city is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112027 - saving money again.  Passed Buffalo compound, then Spreckles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112028 - Encountered early morning jogger going West but now much slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112029 - walking instead of jogging - he said hello.  Hiked past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112030 - Meadow.  Still nobody else in the park.  Passed Helman Hollow.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112031 - feet pain level 1, right knee PL 2, with Naproxen.  Hiked under bridge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112032 - at Crossover Drive (part of highway 1 that goes to Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112033 - Bridge). - JFK is blocked to vehicle traffic the rest of the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112034 - through the park to Stanyon, limiting attendance to keep people                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112035 - separated that minimizes spreading coronavirus.  Now that the epidemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112036 - has been declared over, the park continues to deny people who like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112037 - driving through the park, like Kathy and did for many years.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112038 - past De Young Museum.  Stopped at Nancy Pelosi Drive across from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112039 - Conservatory, mile 6 time 0513, temp 58, wind 04; EKG mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112040 - with minor artifact.  Kardia reported HR 101 Tachycardia, reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112041 - flat grade, cool temperature - see below. ref SDS 0 MO5F  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112042 - 4, energy deficit PL 2, wobbly PL 2, after taking 1 Naproxen 500 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112043 - starting hike and only 2 hours sleep, feet metatarsalgia PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112044 - sensation PL 0, left foot #1 PL 1 and #5 PL 2, right foot #1 PL 0, #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112045 - PL 0, #5 PL 2, left knee PL 0, right knee PL 2.  Took 1 Naproxen 500                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112046 - mg.  Took 2 Magnesium 300 mg.  Took 2 CoQ10 200 mg.  No softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112047 - carried from home for hydration; today, liquid CoQ10 helped swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112048 - reduced meds and nutrition, all per above. ref SDS 0 2BVY  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112049 - around hiked back on JFK, heading West toward the Ocean.  Stayed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112050 - South side against traffic (no actual vehicle traffic in park).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112051 - Halfway to De Yound Museum a soldier jogged by wearing military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112052 - fatigues a large backback and carrying a flagstaff with unit colors,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112053 - indicating a color guard was coming in Escort formation.  Actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112054 - about 40 men and women followed in fatigues some jogging, and others                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112055 - marching/hiking.  First time in 16 years have seen this.  At mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112056 - no Waterfall this morning 2 hours before 0700, near passing under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112057 - Crossover Road bridge at highway 1.  Hiked past Hellman Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112058 - Lindley Meadow, then past Spreckles Lake and Buffalo compound.  Color                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112059 - Bearer followed by soldiers passed now heading East having turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112060 - around up ahead, likely on reaching the ocean.  Finally reached the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112061 - ocean.  Turned North onto Great Highway.  Hiked parallel to Ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112062 - Beach toward the Cliff House and hospital.  Halfway to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112063 - took 1 Magnesium 300 mg pill, and swallowed 2 gulps CoQ10 liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112064 - energy.  Pace slowed hiking up hill - 5% - 8% grade - did not stop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112065 - and maintained breathing without dyspnea today, i.e., did not breath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112066 - through mouth.  At Cliff House, turned onto Point Lobos going East;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112067 - hiked uphill for 1 mile to hospital.  Did not have shortness of breath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112068 - (dyspnea), breathing through mouth about 75% of the way, that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112069 - hiking on 260727. ref SDS 0 9SAH  Seems conflicting with not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112070 - Crystal Ranch Road in Concord past few weeks, and missing most days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112071 - hiking past 2 weeks, to heal hyperextended right knee.  Did not become                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112072 - progressively weaker, so did not need another magnesium pill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112073 - prevent buildup of lactic acid.  Turned onto 42nd street and hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112074 - final hill to VA campus.  Ended hike mile 12, time 0704 temp 56, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112075 - 00, bloating PL 4, energy deficit PL 2, feet metatarsalgia PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112076 - burning sensation PL 0, left foot #1 PL 1, #5 PL 3.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112077 - 3, and #1 PL 0.  Both ankles PL 0.  Left knee meniscus PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112078 - knee PL 0, pending MRI in Radiology.  EKG sinus with significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112079 - artifact (another near train wreck).  Kardia reported HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112080 - Tachycardia looks mostly uniform - see below. ref SDS 0 YFA8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112090 -  ..
112091 - Kardia recorded HR 051 at 0115, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112092 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112093 - likely no AFL after hiking 14 miles temp 98, yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112094 - ref SDS 0 1MEF, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112095 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112096 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112097 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112098 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112101 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112102 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261008-ecg-011517_mile_00_063_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112109 -  ..
112110 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112111 - California, hike 12 miles with max temperature 62, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112112 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112114 - ..
112115 -                                                                                                                                                                                                                                                                                                              x
112116 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112117 -                                                                                    w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112118 -                     x                           x             y                    w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112119 -       Date          261008 261007 261006 261005 261040 261003 261002 261001 260930 260929 260928 260927 260926 260925 260924 260923 260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 26071  
112120 -       Miles            12     13     26      0     26     13     26     17     16     26      0     26      0     26     14     26     13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23  
112121 -       Minutes         220    231                         208           272    263                                       237           226                         243    179    289                                                     211    413    338    331           278           325           352           422                         306                         338                  319                  389                  286                                300           341    344    271    222    246    200    274           100                  191                                387  
112122 -       HR AVG          112    121     no     no     no    116     no    116    130     no     no     no     no     no    112     no    118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115  
112123 -  **     MAX           138    146   report report report  137   report  143    152   report report report report report  143   report  136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136  
112124 -         Min            80     50                          90            71     92                                        76            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77  
112125 -       El Climb Ft     570    490                         425           560    455                                       575           425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635  
112126 -       Temp Max         62     98                          92            95     94                                        59            80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85  
112127 -       Wind Max         07     07                          06            07     07                                        03            07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12  
112128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112131 -              https://flow.polar.com/training/analysis/8436324655                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112134 -               ..
112136 -   
112137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112141 -  ..
112142 - EKG at mile 06 time 0513, HR 101 BPM, temp 56, wind 04; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112143 - reported Tachycardia... heart rate looks uniform with mild artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112144 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112147 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112148 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261008-ecg-051331_mile_06_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112153 -  ..
112154 - End hike EKG at mile 12, time 0704 HR 108 temp 62, wind 07; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112155 - reported Tachycardia, heart rate looks uniform with siginificant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112156 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112159 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112160 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261008-ecg-070408_mile_12_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112165 -  ..
112166 - Post hike HR profile beginning 2151, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112167 - hiking 12 miles with temperature  60, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112168 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112169 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112170 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112171 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112175 -        ..
112176 -       Date      261008  261007  261006  261005  261004  261003  261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730  260729    
112177 -       Time       2151    1741    1941    0240    1954    2101    1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955    1954     
112178 -       Hours        12       7      11       6      13      10       8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12       6     
112179 -       HR AVG       63      71      69      61      64      60      74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62      60     
112180 -       HR MAX      119     112     106     102     135     102     130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     112     
112181 -       HR Min       38      53      37      37      38      38      39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37      39     
112182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112186 -              https://flow.polar.com/training/analysis/8436860083                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112189 -  ..
112190 - HRV seems 40% 0 and  20% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112194 -   
112195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112198 -  ..
112199 - Breakfast - avocado peanut butter mayonaise margarine - few bites with meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112200 - Lunch - sandwich roast beef cheese pickle onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112201 - Dinner - macaroni & cheese steak eggs broccoli potato onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112203 -  ..
112204 - Vomiting: 0% - bloating PL 2 more pliable worse voice close normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112257 -         ..
112258 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112259 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112260 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112261 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112262 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112263 -  132.  261009 0705............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112264 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112265 -               0710....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
112266 -               0715....BP HR..................................................... 161  89  77  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112267 -               0720....BP HR..................................................... 156  66  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112268 -               0725....BP HR..................................................... 153  83  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112269 -               0730....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112270 -               0000...
112271 -  ..
112272 -               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                                                                                                                                                                                                                                                                                  
112273 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
112274 -               1800............ 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                                                                                                                                                                                                                                                                                                                                                                                   
112275 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112276 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112277 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112278 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112279 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112280 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112281 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112282 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112285 -  ..
112286 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112287 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112289 -  ..
112290 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112291 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112292 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112293 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112294 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112295 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112297 -  ..
112298 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112299 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112301 -  ..
112302 - Swallowing - improved but still difficult after EGD Dilation on 260821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112303 - 0830. ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112305 -  ..
112306 - Reflux slept in bed 30%, and in recliner chair 70% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112307 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112312 -  ..
112313 - Kardia recorded HR 051 at 1132, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112314 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112315 - likely no AFL after hiking 12 miles temp 62, yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112316 - ref SDS 0 YXWB, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112317 - ref SDS 25 LY3G, likely arising from dysfuncational ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112318 - ablation on 240611, reviewed with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112319 - ref SDS 73 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112320 - ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112323 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112324 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261009-ecg-113230_mile_00_059_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112330 -  ..
112331 - Post hike HR profile beginning 1915, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112332 - hiking 00 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112333 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112334 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112335 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112336 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112340 -        ..
112341 -       Date      261008  261008  261007  261006  261005  261004  261003  261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730    
112342 -       Time       1915    2151    1741    1941    0240    1954    2101    1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955     
112343 -       Hours        13      12       7      11       6      13      10       8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12     
112344 -       HR AVG       65      63      71      69      61      64      60      74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62     
112345 -       HR MAX      131     119     112     106     102     135     102     130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     
112346 -       HR Min       39      38      53      37      37      38      38      39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37     
112347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112351 -              https://flow.polar.com/training/analysis/8437401709                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112354 -  ..
112355 - HRV seems 40% 0 and  20% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112359 -   
112360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112363 -  ..
112364 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112365 - Lunch - cottage cheese avocado onion tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112366 - Dinner - steak broccoli potato onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112368 -  ..
112369 - Vomiting: 0% - bloating PL 2 more pliable worse voice close normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112423 -         ..
112424 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112425 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112426 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112427 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112428 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112429 -  132.  261010 0740............................................. summary vitals, ref SDS 21 9HIW                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112430 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 59 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112431 -               0740....40 488780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 21 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
112432 -               0745....BP HR..................................................... 161  89  77  Kardia ECG reports HR status, see below. ref SDS 0 YYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112433 -               0750....BP HR..................................................... 156  66  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112434 -               0755....BP HR..................................................... 153  83  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112435 -               0800....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112436 -               0025....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 36 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112437 -               0315....Magnesium 300 mg 4 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 51 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112438 -               0315....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
112439 -               0315... CoQ10 200 mg Ubiquinol took 2 pills - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112440 -               0315....Avocado to increase HDL - 1/2 small instead of Banana half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112441 -               0315....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112442 -               0320....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112443 -               0320... CoQ10 Ubiquinol Liquid - increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112444 -               0320....Turmeric Curcumin liquid loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                              
112445 -               0000...
112446 -  ..
112447 -               0337....miles...........  12.0  26.0  231   231 minutes  temp  62 wind 07  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112448 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112449 -               0513....mile 06 stopped EKG ... banana (not avocado mayonaise margarine peanut butter) swallow medication pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112450 -               0513....Naproxen 500 mg took 1 pill small to aid swallowing because achalasia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112451 -               0513... Magnesium 300 mg 4 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112452 -               0513... CoQ10 200 mg Ubiquinol took 2 Pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112453 -               0513....Turmeric Curcumin 2250 mg took 2 pills loosens calluses both feet #1 reduces inflammation for HDL and contains Naproxen pain relief and loosens calluses                                                                                                                                                                                                                                                                                                                                                                                                                                    
112454 -               0000... Socks changed to 2nd pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112455 -               0513... CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112456 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112457 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112458 -               0704... Hike ends mile 12... ref SDS 0 YFA8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112459 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112460 -               0715....weight.................................... 183  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112461 -               0720....BP HR..................................................... 109   63 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112462 -               0725....BP HR..................................................... 101   65 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112463 -               0730....BP HR..................................................... 117   72  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112464 -               0000...
112465 -  ..
112466 -               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                                                                                                                                                                                                                                                                                  
112467 -               0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
112468 -               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                                                                                                                                                                                                                                                                                                                                                                                   
112469 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 31 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112470 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 24 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112471 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112472 -               2230... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112473 -               2230... Polyethylene Glycol 3350 relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112474 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112475 -               2250... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112476 -               2330... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 47 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112479 -  ..
112480 - Frequent urination possible dysfunctional ANS, diabetes symptom and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112481 - reaction to Pantoprazole, see case study on 200101. ref SDS 21 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112483 -  ..
112484 - Peripheral Neuropathy continues with feet elevated; restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112485 - and/or PAD has decreased with pain no longer in toes down to heels.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112486 - Symptoms have decreased pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112487 - feet are elevated in reclining chair.  Last night there was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112488 - PN.  Restless legs has not occurred for awhile, maybe because hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112489 - declined considerably.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112491 -  ..
112492 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112493 - ref SDS 21 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112495 -  ..
112496 - Swallowing - improved but still difficult after EGD Dilation on 260821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112497 - 0830. ref SDS D3 274L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112499 -  ..
112500 - Reflux slept in bed 30%, and in recliner chair 70% to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112501 - aspiration, vomited less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112505 -  ..
112506 - Summary... drove to VAMCSF; while in car before starting hike had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112507 - nutrition hydration and meds.  Hiked only beyond De Young - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112508 - around at mile 6, instead of on Stanyon.  Right knee PL 2 going out,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112509 - good pace, possibly upgrading CoQ10 pills from 100 mg to 200 mg.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112510 - Raced color guard hiking through park with 30# backpacks - quite a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112511 - sight.  Hiked back uphill on Great Highway to Cliff House and then on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112512 - Point Lobos to hospital went well - no stopping to rest, and breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112513 - through nose entire way back; no dyspena.  Big improvement, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112514 - missing hiking past 10 days for hyperextended right knee to heal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112515 - Hiking with new orthotic inserts received from Doctor Hewitson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112516 - 260727, with Hoka Clifton 11 Size 11.5 width 4E shoes caused minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112517 - lateral pressure on edges of #1s and #5s, with moderate pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112518 - top of #4s and #5s - no new or worsened calluses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112521 -         ..
112522 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112523 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112524 -        Stomach pain bloating unstable ANS...........   4         90  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 08 miles, but increased by end of hike; temp 96 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                 
112525 -        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                                                                                                                                                                                                                                                                                                                                                                                         
112526 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112527 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112528 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112529 -        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                                                                                                                                                                                                                                                                                                                           
112530 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112531 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112532 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112533 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112534 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
112535 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112536 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
112537 -        Hands sunburned itching rash.................   0        100  omitted sunblock today 260512, just forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112538 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
112539 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112540 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112541 -        Shin splint pain right leg...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112542 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112543 -        Knee left meniscus...PRP 210705..............   2         10  noticed end of hike; odd have not had left knee pain in years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112544 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112545 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112546 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112547 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112548 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee after PRP on 260911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112549 -        Knee right hyperextension....................   2        100  could also be cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112550 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112551 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112552 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112553 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112554 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112555 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112556 -        Tailor's Bunion left foot.. PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112557 -        Tailor's Bunion right foot..PRP 260403.......   0        100  Doctor Tang shaved calluses 260507 - pressure today last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112558 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112559 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112560 -        Metatarsalgia left foot...PRP 260403.........   1         20  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112561 -        Metatarsalgia right foot..PRP 260403.........   1         20  PRP 260403 may be curing this injury - PL 3 at end of hike wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112562 -  new   Right foot fat pad below #3 & #4,,,,,,,,,,...   0        100  PRP 260403 may be curing this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112563 -  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                                                                                                                                                                                                                                                                                                                                                                                                  
112564 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112565 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112566 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
112567 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
112568 -        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                                                                                                                                                                                                                                                                                                                           
112569 -        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                                                                                                                                                                                                                                                                                                                                                                                    
112570 -        Hallux Valgus right foot.....................   0        100  seems stable despite hiking therapeutic miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112571 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
112572 -        Callus big toe left foot.....................   0        100  wearing Clifton 11 size 11.5 callus pulling loose taking Tumeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112573 -        Callus big toe right foot...PRP 210705.......   0        100  wearing Clifton 11 size 11.5 callus pulling loose taking Tumeric Curcumin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112574 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112575 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
112576 -        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                                                                                                                                                                                                                                                                                                                                           
112577 -        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                                                                                                                                                                                                                                                                                                                                           
112578 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112579 -        Callus little toe right foot..top of toe.....   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112580 -        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                                                                                                                                                                                                                                                                                                                                                                                        
112581 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
112582 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
112583 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112584 -        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                                                                                                                                                                                                                                                                                                                                                              
112585 -        Callus little toe #5 left foot...PRP 210705..   2         75  wearing Hoka Clifton 11 size 11.5 4x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112586 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
112587 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112588 -        Blister top foot at toe line right foot......   0        100  wearing Fitville shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112589 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
112590 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112591 -        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                                                                                                                                                                                                                                                                                          
112592 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
112593 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112594 -        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                                                                                                                                                                                                                                                                                                                                                                               
112595 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112596 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112597 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112598 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112599 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112600 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112601 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112602 -        Wobbly disoriented staggering dizzy..........   2        100  reflecting 2 hours sleep - little difficult getting home after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112603 -        Wasted - very fatigued.......................   0        100  good energy entire 18 miles with temp 91 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112604 -        Hiker's rash vasculitis.see 210618...........   0        100  after hike quads show no heat rash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112608 -  ..
112609 - Shoes see case study on 200101 0701. ref SDS 21 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112610 - Clifton 11 shoes size 11.5 width 4E, received on 260816 1511,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112611 - ref SDS D1 EQ7K, and replacing new Fitville Rebound Core V1 Size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112612 - width 6E received on 260414 1105. ref SDS C1 6DG1  Clifton's much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112613 - better ride good rebound energy and metatarsalgia PL 1 - 2, all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112614 - way, compared with PL 3 - 4 wearing Rebound Core V1 shoes that feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112615 - like walking on 2x4 wood blocks.  Dod mpt notice slightly more lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112616 - pressure both feet because Rebound Core V1 shoes width 6E has more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112617 - room than Clifton 4E shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112619 -  ..
112620 - Orthotic inserts - continued wearing Powerstep Protech Classic Thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112621 - modified to prevent right knee hyperextension injury from collapsing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112622 - the knee inward diagnosed by Doctor Hewitson, as signaling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112623 - hyperextension, and who also modified the Powerstep insert at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112624 - time on 260928 0900. ref SDS E1 BHW2  Today, this seemed to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112625 - right knee pain during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112627 -  ..
112628 - Callus Injuries - Narrower 4E shoes increased lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112629 - slightly on medium hike, yielded PL 0-2 entire hike, no noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112630 - increased pain.  Did not need toecaps, because Doctor Hewitson removed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112631 - extra padding on Powerstep Protech Classic Thin inserts, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112632 - prevents the feet from pressing on shoe cover material that prevously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112633 - caused blistering and calluses on #345 metatarsals.  Bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112634 - that occurred at mile 10 on right foot below #1, reported on 260908,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112635 - per above. ref SDS 0 CF6T, has resolved and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112637 -  ..
112638 - Socks see case study on 200101 0701. ref SDS 21 0S6N  Today, continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112639 - switch from 2 pair dual-ply Wrightsocks socks, to 1 pair Smart Wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112640 - socks.  Did not switch socks during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112645 -  ..
112646 - San Francisco 13 mile route, reported on 170519, ref SDS 9 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112647 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112648 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112649 - injection 16 times, see case study on 200101 0701, ref SDS 21 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112650 - and most recently by VA on 260911 1000. ref SDS D9 86B3  Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112651 - Chondroitin also protects left hip, which flares few times a month, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112652 - on 260814.  On arriving at the hospital, took 1 Naproxen 500 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112653 - pain management.  No metatarsalgia pain in feet starting hike today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112654 - and both feet #1 and #5 calluses PL 0 - were shaved down by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112655 - Tang in VAMC Podiatry on 260910 1100, ref SDS D8 5Q5M, and now pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112656 - treatment again today, after hike on 261008 0900.  Left foot #1 #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112657 - calluses growing again, possibly more slowly; but, less lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112658 - pressure wearing Hoka Clifton 11 shoes, and did not wear toe caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112659 - today, per above. ref SDS 0 UBEN  Took 4 Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112660 - pills for cellular energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112661 - inflammation, all to enable hiking that increases HDL and EPCs, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112662 - together regress plaque in blood vessels - see research on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112663 - 0701, ref SDS 21 QP6L  Took 2 CoQ10 200 mg capsules for energy - CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112664 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112665 - chain (ETC) giving human cells energy, and protects heart tissue from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112666 - harmful free radicals and stress - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112667 - ref SDS 21 136K  Took 2 Turmeric Curcumin 2250 mg pills to resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112668 - inflammation, essential for HDL to rise - see again case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112669 - 200101 0701. ref SDS 21 NKSY  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112670 - hydration and swallowing nutrition - swallowed pills separately (1 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112671 - a time) and whole combined with bites of avodado, margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112672 - mayonaise, peanut butter, - pills slip through LESV easier when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112673 - swallowed combined with food chewed to a slurry combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112674 - carbonated softdrink.  Took liquid Turmeric Curcumin and Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112675 - CoQ10, all per above. ref SDS 0 YXWB  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112676 - starting hike from ischemic colitis caused by taking statins and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112677 - drugs, also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112678 - (arrhythmia - variable heart rate from dysfunctional ANS following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112679 - cardiac ablation on 240611) see case study on 200101 0701. ref SDS 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112680 - O33H  Did not take backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112681 - conditioning for Half Dome - because extra weight increases pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112682 - that causes feet injuries, e.g., calluses.  Temperature mild 58 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112683 - Southerly wind 02 mph.  Departed VAMCSF campus in dark at 0337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112684 - foggy.  Hiked slowly downhill on 42nd Street to warm up, and to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112685 - increasing injury to right knee.  Turned corner heading downhill West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112686 - on Point Lobos to Cliff House at mile 1.  Road bends and changes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112687 - "Great Highway" going South along ocean beach.  Pace picked up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112688 - CoQ10 and magnesium digested and increased strength.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112689 - turned East onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112690 - Maintained pace going slightly uphill into the park for .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112691 - Turned corner and continued East on JFK.  Dark and with few widely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112692 - spaced street lights, cannot see the road.  Actually, seemed there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112693 - were fewer street lights active this morning.  Maybe the city is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112694 - saving money again.  Passed Buffalo compound, then Spreckles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112695 - Encountered early morning jogger going West but now much slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112696 - walking instead of jogging - he said hello.  Hiked past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112697 - Meadow.  Still nobody else in the park.  Passed Helman Hollow.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112698 - feet pain level 1, right knee PL 2, with Naproxen.  Hiked under bridge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112699 - at Crossover Drive (part of highway 1 that goes to Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112700 - Bridge). - JFK is blocked to vehicle traffic the rest of the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112701 - through the park to Stanyon, limiting attendance to keep people                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112702 - separated that minimizes spreading coronavirus.  Now that the epidemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112703 - has been declared over, the park continues to deny people who like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112704 - driving through the park, like Kathy and did for many years.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112705 - past De Young Museum.  Stopped at Nancy Pelosi Drive across from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112706 - Conservatory, mile 6 time 0513, temp 58, wind 04; EKG mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112707 - with minor artifact.  Kardia reported HR 101 Tachycardia, reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112708 - flat grade, cool temperature - see below. ref SDS 0 MO5F  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112709 - 4, energy deficit PL 2, wobbly PL 2, after taking 1 Naproxen 500 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112710 - starting hike and only 2 hours sleep, feet metatarsalgia PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112711 - sensation PL 0, left foot #1 PL 1 and #5 PL 2, right foot #1 PL 0, #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112712 - PL 0, #5 PL 2, left knee PL 0, right knee PL 2.  Took 1 Naproxen 500                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112713 - mg.  Took 2 Magnesium 300 mg.  Took 2 CoQ10 200 mg.  No softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112714 - carried from home for hydration; today, liquid CoQ10 helped swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112715 - reduced meds and nutrition, all per above. ref SDS 0 2BVY  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112716 - around hiked back on JFK, heading West toward the Ocean.  Stayed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112717 - South side against traffic (no actual vehicle traffic in park).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112718 - Halfway to De Yound Museum a soldier jogged by wearing military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112719 - fatigues a large backback and carrying a flagstaff with unit colors,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112720 - indicating a color guard was coming in Escort formation.  Actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112721 - about 40 men and women followed in fatigues some jogging, and others                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112722 - marching/hiking.  First time in 16 years have seen this.  At mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112723 - no Waterfall this morning 2 hours before 0700, near passing under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112724 - Crossover Road bridge at highway 1.  Hiked past Hellman Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112725 - Lindley Meadow, then past Spreckles Lake and Buffalo compound.  Color                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112726 - Bearer followed by soldiers passed now heading East having turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112727 - around up ahead, likely on reaching the ocean.  Finally reached the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112728 - ocean.  Turned North onto Great Highway.  Hiked parallel to Ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112729 - Beach toward the Cliff House and hospital.  Halfway to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112730 - took 1 Magnesium 300 mg pill, and swallowed 2 gulps CoQ10 liquid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112731 - energy.  Pace slowed hiking up hill - 5% - 8% grade - did not stop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112732 - and maintained breathing without dyspnea today, i.e., did not breath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112733 - through mouth.  At Cliff House, turned onto Point Lobos going East;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112734 - hiked uphill for 1 mile to hospital.  Did not have shortness of breath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112735 - (dyspnea), breathing through mouth about 75% of the way, that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112736 - hiking on 260727. ref SDS 0 9SAH  Seems conflicting with not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112737 - Crystal Ranch Road in Concord past few weeks, and missing most days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112738 - hiking past 2 weeks, to heal hyperextended right knee.  Did not become                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112739 - progressively weaker, so did not need another magnesium pill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112740 - prevent buildup of lactic acid.  Turned onto 42nd street and hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112741 - final hill to VA campus.  Ended hike mile 12, time 0704 temp 56, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112742 - 00, bloating PL 4, energy deficit PL 2, feet metatarsalgia PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112743 - burning sensation PL 0, left foot #1 PL 1, #5 PL 3.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112744 - 3, and #1 PL 0.  Both ankles PL 0.  Left knee meniscus PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112745 - knee PL 0, pending MRI in Radiology.  EKG sinus with significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112746 - artifact (another near train wreck).  Kardia reported HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112747 - Tachycardia looks mostly uniform - see below. ref SDS 0 YFA8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112757 -  ..
112758 - Kardia recorded HR 067 at 1109, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112759 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112760 - after hiking 00 miles temp __, yesterday, per above, ref SDS 0 GC7I,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112761 - and diagnosed ischemic colitis on 200612 0700, ref SDS 25 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112762 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112763 - reviewed with Microsoft AI on 250114 1202. ref SDS 73 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112764 - history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112767 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112768 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_261010-ecg-110908_mile_00_067_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112775 -  ..
112776 - Polar HR GPS study *** low accuracy GPS used *** in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112777 - California, hike 12 miles with max temperature 62, - Medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112778 - case study on 200101 0701. ref SDS 21 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112780 - ..
112781 -                                                                                                                                                                                                                                                                                                              x
112782 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112783 -                                                                                    w      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112784 -                     x                           x             y                    w                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112785 -       Date          261008 261007 261006 261005 261040 261003 261002 261001 260930 260929 260928 260927 260926 260925 260924 260923 260922 260921 260920 260919 260918 260917 260916 260915 260914 260913 260912 260911 260910 260909 260908 260907 260906 260905 260904 260903 260902 260901 260831 260830 260829 260828 260827 260826 260825 260824 260823 260822 260821 260820 260819 260818 260817 260816 260815 260814 260813 260812 260811 260810 260809 260808 260807 260806 260805 260804 260803 260802 260801 260731 260730 260729 260728 260727 260726 260725 260724 260723 260722 260721 260720 26071  
112786 -       Miles            12     13     26      0     26     13     26     17     16     26      0     26      0     26     14     26     13     26      0     26     12     11     17     26      0     26      0      0      0      0     12     22     21     20      0     17      0     20      0     22      0     26      0      0      0     18      0      0      0     21      0      0     20      0      0     25      0      0     18      0      0      0      0     18      0     21     21     17     14     15     11     17      0      6      0      0     12      0      0      0      0     23  
112787 -       Minutes         220    231                         208           272    263                                       237           226                         243    179    289                                                     211    413    338    331           278           325           352           422                         306                         338                  319                  389                  286                                300           341    344    271    222    246    200    274           100                  191                                387  
112788 -       HR AVG          112    121     no     no     no    116     no    116    130     no     no     no     no     no    112     no    118     no     no     no    106     no    114     no     no     no     no     no     no     no    100    110    111    113     no    112     no    116     no    117     no     no     no     no     no    123     no     no     no    117     no     no    116     no     no    117     no     no    111     no     no     no     no    112     no    109    114    111    109    123    114    117     no    118     no     no    115     no     no     no     no    115  
112789 -  **     MAX           138    146   report report report  137   report  143    152   report report report report report  143   report  136   report report report  143   report  152   report report report report report report report  127    135    153    142   report  145   report  147   report  139   report report report report report  150   report report report  144   report report  138   report report  166   report report  139   report report report report  131   report  135  **178**  139    134    143    145    139   report  141   report report  141   report report report report  136  
112790 -         Min            80     50                          90            71     92                                        76            75                          70   Polar    83                                                      72     72     53     73            60            69            77                                        74                          73                   78                   83                   69                                 74            79     68     77     68     64     72     68            74                   76                                 77  
112791 -       El Climb Ft     570    490                         425           560    455                                       575           425                         565   failed  595                                                     340    885   1085   1015           610           540           650                                       570                         635                  670                  860                  570                                440           660    525    490    445    410    590    480           325                  390                                635  
112792 -       Temp Max         62     98                          92            95     94                                        59            80                          58            71                                                      88     90     82     82            74            74            85            79                          91                          84                   87                   77                   85                                 92            91     95     88     92     96     58     85            59                   91                                 85  
112793 -       Wind Max         07     07                          06            07     07                                        03            07                          06            21                                                       8      7     15     15            15            15            11            10                          12                          12                   15                   15                   15                                 15            12      7      5      9     12     12     11            18                   12                                 12  
112794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112797 -              https://flow.polar.com/training/analysis/8436324655                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112800 -               ..
112802 -   
112803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112807 -  ..
112808 - EKG at mile 06 time 0513, HR 101 BPM, temp 56, wind 04; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112809 - reported Tachycardia... heart rate looks uniform with mild artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112810 - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112813 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112814 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261008-ecg-051331_mile_06_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112819 -  ..
112820 - End hike EKG at mile 12, time 0704 HR 108 temp 62, wind 07; Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112821 - reported Tachycardia, heart rate looks uniform with siginificant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112822 - artifact - medical history case study on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112825 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112826 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_261008-ecg-070408_mile_12_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112831 -  ..
112832 - Post hike HR profile beginning 1915, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112833 - hiking 00 miles with temperature  __, and showing no continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112834 - extended period steady elevated HR > 130, indicates no AFL, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112835 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112836 - after 6th ablation on 240611, 240611 0930, ref SDS 56 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112837 - patient history on 200101 0701. ref SDS 21 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112841 -        ..
112842 -       Date      261008  261008  261007  261006  261005  261004  261003  261002  261001  260930  260929  260928  260927  260926  260925  260924  260923  260922  260921  260920  260919  260918  260917  260916  260915  260914  260913  260912  260911  260910  260909  260908  260907  260906  260905  260904  260903  260902  260901  260831  260830  260829  260828  260827  260826  260825  260824  260823  260822  260821  260820  260819  260818  260817  260816  260815  260814  260813  260812  260811  260810  260809  260808  260807  260806  260805  260804  260803  260802  260801  260731  260730    
112843 -       Time       1915    2151    1741    1941    0240    1954    2101    1959    2016    2347    2016    2002    1917    2100    1933    1951    1835    2344    2034    1939    2147    1931    data    2101    2000    2026    2018    2113    2113    2117    1918    1946    2339    2245    2242    2011    2050    1954    1937    2025    2017    1928    2004    2007    2004    2144    2206    2333    1914            1923    1958    2150    2128   19452   19452    2142    2058    2039    2201    1933    2005    2219    2359    2306    2010    2041    2032    1916    1959    2314    1955     
112844 -       Hours        13      12       7      11       6      13      10       8      14       8      13      12       9      12      12      12       6       8      12      11       9      12    lost      11      12       9      10       9      10      10       9      11       7       9      10      12      10       9      15      10      10      13      12      10       9      10      11       7      11      no       8      10      10       9      12      12      10      10      12      10      10      11       9       8       8      12       9       8      10       9       7      12     
112845 -       HR AVG       65      63      71      69      61      64      60      74      73      73      62      67      67      58      64      61      78      66      66      61      62      63              64      66      64      72      61      67      63      63      68      66      63      60      63      57      59      59      62      69      61      62      57      53      62      64      60      61    report    64      59      72      65      61      61      65      63      66      62      66      64      65      62      67      68      68      67      65      65      70      62     
112846 -       HR MAX      131     119     112     106     102     135     102     130     149     107      97     130     107     118     137     133     124     133     119     122     142     117             131     123     124     122      98     114     108     144     136     109     123      99     132     112      89     109     126     140     117     115      86      97     130     124      99     123             114     121     126     136     120     119     134     136     146     111      93     137     128      91     138     110     118     114     127     113     129     108     
112847 -       HR Min       39      38      53      37      37      38      38      39      40      38      40      39      48      37      37      37      60      40      38      37      38      37              37      39      39      42      37      39      39      38      40      47      38      38      38      35      37      38      38      38      36      38      37      37      36      40      39      38              43      37      38      45      37      33      41      38      38      40      38      35      33      37      40      37      39      38      37      37      40      37     
112848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112852 -              https://flow.polar.com/training/analysis/8437401709                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112855 -  ..
112856 - HRV seems 40% 0 and  20% good and  40% poor overnight Polar HR report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112860 -   
112861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112864 -  ..
112865 - Breakfast - pancake eggs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112866 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112867 - Dinner - steak broccoli potato onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112869 -  ..
112870 - Vomiting: 0% - bloating PL 2 more pliable worse voice below normal - when wake up, gets worse later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1130 -